Provider Demographics
NPI:1457490153
Name:MERIN, SARAH L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:L
Last Name:MERIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 CENTRAL ST
Mailing Address - Street 2:#3
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-2851
Mailing Address - Country:US
Mailing Address - Phone:857-523-0411
Mailing Address - Fax:
Practice Address - Street 1:UPHAM'S CORNER HEALTH CENTER
Practice Address - Street 2:500 COLUMBIA RD, MAILSTOP 415-05
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125
Practice Address - Country:US
Practice Address - Phone:617-740-8152
Practice Address - Fax:617-282-7603
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2142511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical