Provider Demographics
NPI:1669703435
Name:SMITH, SARAH JANE (LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:CAVALLARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:37 CLAFLIN RD APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4451
Mailing Address - Country:US
Mailing Address - Phone:310-985-5022
Mailing Address - Fax:
Practice Address - Street 1:37 CLAFLIN RD APT 2
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-4451
Practice Address - Country:US
Practice Address - Phone:310-985-5022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health