Sarah M Vincenzo, MA, LICSW
Individual provider Active NPI Clinical Social Worker · Woodside, CA
NPI 1689145773 · NPPES record last updated Dec 16, 2018
Key facts
- NPI
- 1689145773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 114141 (MA)
- Practice address
- 17222 Skyline Blvd
Woodside, CA 94062-3741 - Phone
- (617) 970-3071
- NPI assigned
- Dec 16, 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114141 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114141 | MA | Yes |
Addresses
Primary practice location
17222 Skyline Blvd
Woodside, CA 94062-3741
Mailing address
17222 Skyline Blvd
Woodside, CA 94062-3741
Phone (617) 970-3071
Other providers in Woodside, CA
- Christine Swan
- Stephanie Jordan Swan
- T. Warren Schweitzer MD Inc
- The Village Doctor
- Kali Rose Tileston
- Virginia Warden
- Norman Warren Weinstein
- Michael M Wick
- Woodside Village Pharmacy
- Joseph A Zammuto
All providers in Woodside, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.