Provider Demographics
NPI:1952779142
Name:HALLWOOD, SARAH ALLISON (LCSW)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ALLISON
Last Name:HALLWOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 STERLING CITY RD
Mailing Address - Street 2:
Mailing Address - City:LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06371-3306
Mailing Address - Country:US
Mailing Address - Phone:860-304-7138
Mailing Address - Fax:
Practice Address - Street 1:337 MANSFIELD RD UNIT 1255
Practice Address - Street 2:
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06269-3139
Practice Address - Country:US
Practice Address - Phone:860-486-4705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-04
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA1252101041C0700X
CT0115241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health