Provider Demographics
NPI:1720120884
Name:SAWLER, KATHLEEN G (LICSW)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:G
Last Name:SAWLER
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 1:34 JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-2147
Mailing Address - Country:US
Mailing Address - Phone:603-767-2110
Mailing Address - Fax:
Practice Address - Street 1:1 GREENLEAF WOODS DRIVE, SUITE 302
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-767-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30424069Medicaid
NH14Y008716NH02OtherBLUE CROSS & BLUE SHIELD