Provider Demographics
NPI:1346688363
Name:REES, SARAH STAPLETON (LCSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:STAPLETON
Last Name:REES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:STAPLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06039-0287
Mailing Address - Country:US
Mailing Address - Phone:860-960-6879
Mailing Address - Fax:
Practice Address - Street 1:31 PORTER STREET
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:CT
Practice Address - Zip Code:06039
Practice Address - Country:US
Practice Address - Phone:860-960-6879
Practice Address - Fax:718-231-4225
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0832551041C0700X
CT105861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical