Tate McKinley Sakiyama, LISCW

Individual provider Active NPI Clinical Social Worker · Sherborn, MA

NPI 1669957262 · NPPES record last updated Sep 28, 2018

Key facts

NPI
1669957262
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
116954 (MA)
Practice address
83 Nason Hill Rd
Sherborn, MA 01770-1233
Phone
(508) 808-2255
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
116954MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116954 MA Yes

Addresses

Primary practice location

83 Nason Hill Rd
Sherborn, MA 01770-1233

Mailing address

83 Nason Hill Rd
Sherborn, MA 01770-1233
Phone (508) 808-2255

Other providers in Sherborn, MA

All providers in Sherborn, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.