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Contact Information

SARA S WELLS, LICSW
1955 MASSACHUSETTS AVE
CAMBRIDGE, MA02140-1405
 Phone: 617-909-1232
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SARA S WELLS · (Female)

NPI Number 1013096775
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 11/03/2006
Last updated 07/12/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 112104
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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