Provider Demographics
NPI:1619846367
Name:NERWINSKI, SARA MALING
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MALING
Last Name:NERWINSKI
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 1:1800 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2905
Mailing Address - Country:US
Mailing Address - Phone:609-752-4405
Mailing Address - Fax:
Practice Address - Street 1:1800 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2905
Practice Address - Country:US
Practice Address - Phone:609-752-4405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01201000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty