Provider Demographics
NPI:1568687861
Name:SUGATT, SARAH S (LICSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:S
Last Name:SUGATT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PRENTISS WAY
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4611
Mailing Address - Country:US
Mailing Address - Phone:603-781-5005
Mailing Address - Fax:
Practice Address - Street 1:24 PRENTISS WAY
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4611
Practice Address - Country:US
Practice Address - Phone:603-781-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30007735Medicaid
NH30007735Medicaid