Sarah Marie Blair, CASACT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Rome, NY
NPI 1780798371 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780798371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 18611 (NY)
- Practice address
- 104 W South St
Rome, NY 13440-6524 - Phone
- (315) 533-6506
- NPI assigned
- Aug 19, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18611 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18611 | NY | Yes |
Addresses
Primary practice location
104 W South St
Rome, NY 13440-6524
Mailing address
104 W South St
P.O. Box 286
Rome, NY 13440-6524
Phone (315) 533-6506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18611 | Other | NY | CASACT |
Other providers in Rome, NY
- Shiv S Bhatt
- Shaina Elizabeth Bienvenue
- Binghampton Optical Inc
- Catherine Bird
- Stacy Michelle Bisgrove
- Jason Blanc
- Nichole Blanc
- Jennifer Helen Blanchard
- Stephanie Anne Bliss
- Brittany H Bogardus
All providers in Rome, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.