Provider Demographics
NPI:1285058685
Name:MCGOWAN, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7169 SNOWBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:HOLLINS
Mailing Address - State:VA
Mailing Address - Zip Code:24019-2139
Mailing Address - Country:US
Mailing Address - Phone:508-802-8043
Mailing Address - Fax:
Practice Address - Street 1:57 OXFORD DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3415
Practice Address - Country:US
Practice Address - Phone:508-802-8043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW229733104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker