Doctor Name: | MS. SARAH A. SHEPARD |
NPI Number: | 1033317649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 214001 |
Business Practice Address: | 4 Raymond St #7 Gloucester, MA - 019303977 |
Business Phone Number: | 9783355599 |
Business Fax Number: | |
Mailing Address: | 4 Raymond St, #7 GLOUCESTER |
State: | MA |
Postal Code: | 019303977 |
Phone Number: | 9783355599 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 01/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 214001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |