Provider Demographics
NPI:1124257167
Name:DONAHUE, SARA SCHOOLWERTH (MSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:SCHOOLWERTH
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6666
Mailing Address - Country:US
Mailing Address - Phone:802-451-1084
Mailing Address - Fax:
Practice Address - Street 1:97 WINTER ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6666
Practice Address - Country:US
Practice Address - Phone:802-451-1084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical