Provider Demographics
NPI:1588696579
Name:SAKS, MICHAEL S (MSW)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:S
Last Name:SAKS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:LITTLE COMPTON
Mailing Address - State:RI
Mailing Address - Zip Code:02837-0237
Mailing Address - Country:US
Mailing Address - Phone:401-635-2999
Mailing Address - Fax:
Practice Address - Street 1:235 HANOVER ST STE 208
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5254
Practice Address - Country:US
Practice Address - Phone:508-679-4281
Practice Address - Fax:508-679-4593
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1029511041C0700X
MA1145761041C0700X
RI004901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1588686579OtherHARVARD PILGRIM
MA753 222 530OtherUNITED BEHAVIORAL HEALTH
MA1588696579OtherBLUE CROSS BLUE SHIELD - ALL PRODUCTS
1856651OtherMASS HEALTH CROSSOVER
2530-00OtherHARVARD PILGRIM
2530-00OtherHARVARD PILGRIM