Provider Demographics
NPI:1063603066
Name:SBARRA, AUDRA (LCSW)
Entity type:Individual
Prefix:
First Name:AUDRA
Middle Name:
Last Name:SBARRA
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 1:177 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2344
Mailing Address - Country:US
Mailing Address - Phone:732-635-0849
Mailing Address - Fax:609-497-4412
Practice Address - Street 1:177 HIGH ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2344
Practice Address - Country:US
Practice Address - Phone:732-635-0849
Practice Address - Fax:609-497-4412
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical