MEDICARE: SARAH PATRICIA MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW227060	MA

General Provider Information

NPI Number	:	1770320012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH PATRICIA MOORE

Provider Business Mailing Address
First Line	:	420 WASHINGTON ST
Second Line	:
City	:	WINCHESTER
State	:	MA
Zip	:	01890-1353
Country	:	US
Telephone Number	:	781-859-9128
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 WELLS AVE STE 20
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-3227
Country	:	US
Telephone Number	:	781-707-9578
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2024
Last Update Date	:	03/20/2026

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Directions to “ SARAH PATRICIA MOORE ” Practice Location

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