Provider Demographics
NPI:1720757594
Name:SARVET, SAMANTHA (LICSW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:SARVET
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 1:199 MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3193
Mailing Address - Country:US
Mailing Address - Phone:413-370-0464
Mailing Address - Fax:
Practice Address - Street 1:199 MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3193
Practice Address - Country:US
Practice Address - Phone:413-370-0464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1276401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical