Provider Demographics
NPI:1053939108
Name:GAROFALO, SARA JANE (LCSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JANE
Last Name:GAROFALO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 DURKEE CIR
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1526
Mailing Address - Country:US
Mailing Address - Phone:978-594-7458
Mailing Address - Fax:
Practice Address - Street 1:BIL-BEHAVIORAL HEALTH ESP
Practice Address - Street 2:35 CONGRESS STREET
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:978-744-1585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2110191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical