Provider Demographics
NPI:1194289215
Name:BROWN, SARAH RICHARDS (LMSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:RICHARDS
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LAURIE PL
Mailing Address - Street 2:
Mailing Address - City:WEST SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11796-1510
Mailing Address - Country:US
Mailing Address - Phone:631-678-5448
Mailing Address - Fax:
Practice Address - Street 1:2040 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-6536
Practice Address - Country:US
Practice Address - Phone:631-471-7242
Practice Address - Fax:631-676-6934
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099651104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker