Provider Demographics
NPI:1558518118
Name:MONTEMARO, SARAH M (LCSW-R)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:MONTEMARO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 BASKET RD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9609
Mailing Address - Country:US
Mailing Address - Phone:585-704-6974
Mailing Address - Fax:
Practice Address - Street 1:385 BASKET RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-9609
Practice Address - Country:US
Practice Address - Phone:585-704-6974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0751061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical