Provider Demographics
NPI:1528302981
Name:SARAH L WARD
Entity type:Organization
Organization Name:SARAH L WARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-236-0780
Mailing Address - Street 1:56 ARBOR ST
Mailing Address - Street 2:SUITE 323
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-1222
Mailing Address - Country:US
Mailing Address - Phone:860-236-0780
Mailing Address - Fax:860-236-0781
Practice Address - Street 1:56 ARBOR ST
Practice Address - Street 2:SUITE 323
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-1222
Practice Address - Country:US
Practice Address - Phone:860-236-0780
Practice Address - Fax:860-236-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-23
Last Update Date:2012-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007960251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008041383Medicaid