Provider Demographics
NPI:1649564600
Name:KROL, SARA B (LICSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:B
Last Name:KROL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 STATE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-2871
Mailing Address - Country:US
Mailing Address - Phone:617-584-5581
Mailing Address - Fax:
Practice Address - Street 1:699 STATE RD STE 4
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:MA
Practice Address - Zip Code:02790-2871
Practice Address - Country:US
Practice Address - Phone:617-584-5581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health