Sarah Holloway Waite, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC2447 Issued in ME

Practice address

215 Congress Street
Prop East End Childrens Workshop
Portland, ME 04101-3621

Phone

(207) 772-5467

Fax

(207) 780-9823

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sarah Waite Corum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073665592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WELLSTONE DRIVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032771",
            "telephone_number": "207-879-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CONGRESS STREET",
            "address_2": "PROP EAST END CHILDRENS WORKSHOP",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013621",
            "telephone_number": "207-772-5467",
            "fax_number": "207-780-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "SARAH",
        "middle_name": "HOLLOWAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC2447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CORUM",
            "middle_name": "WAITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana H Wagman, PA-C
• Kristy Wagner, RN
• John B Wahlig, MD
• Geoffrey Kamau Wahome, RN
• Abigail Waite, CRNA
• Richard Alan Waitzkin, MSW LCSW
• Brynn N Wajda, MD
• Rami Waked, MD
• Chantal Marie Wakefield, CRNA
• Karen Callahan Wakeman, M.D.

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.