Sara Wilson Hartman

Individual provider Active NPI Clinical Social Worker · Maynard, MA

NPI 1912415464 · NPPES record last updated Jan 18, 2018

Key facts

NPI
1912415464
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
101185 (MA)
Practice address
3 Oak Ridge Dr Unit 2
Maynard, MA 01754-2462
Phone
(978) 897-2032
NPI assigned
Jan 18, 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
101185MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101185 MA Yes

Addresses

Primary practice location

3 Oak Ridge Dr Unit 2
Maynard, MA 01754-2462

Mailing address

3 Oak Ridge Dr Unit 2
Maynard, MA 01754-2462
Phone (978) 897-2032

Other providers in Maynard, MA

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

Sources for this page

Verify at the official NPI Registry.