Provider Demographics
NPI:1811125792
Name:PATTON, SARAH (LICSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PATTON
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 1:286 MONTAGUE RD
Mailing Address - Street 2:
Mailing Address - City:SHUTESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01072-9760
Mailing Address - Country:US
Mailing Address - Phone:413-259-0030
Mailing Address - Fax:
Practice Address - Street 1:286 MONTAGUE RD
Practice Address - Street 2:
Practice Address - City:SHUTESBURY
Practice Address - State:MA
Practice Address - Zip Code:01072-9760
Practice Address - Country:US
Practice Address - Phone:413-259-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10262231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical