Provider Demographics
NPI:1831390285
Name:STEARNS, SALLEE ANN (LICSW)
Entity type:Individual
Prefix:MRS
First Name:SALLEE
Middle Name:ANN
Last Name:STEARNS
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 1:50 PRESCOTT ST STE 3300
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2652
Mailing Address - Country:US
Mailing Address - Phone:508-890-6411
Mailing Address - Fax:508-890-6410
Practice Address - Street 1:50 PRESCOTT ST STE 3300
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2652
Practice Address - Country:US
Practice Address - Phone:508-890-6411
Practice Address - Fax:508-890-6411
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1134231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical