Healthcare Provider Details

I. General information

NPI: 1053487652
Provider Name (Legal Business Name): SARAH MITCHELL LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH MITCHELL LICSW

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S MAIN ST
TOPSFIELD MA
01983-1835
US

IV. Provider business mailing address

22 S MAIN ST
TOPSFIELD MA
01983-1835
US

V. Phone/Fax

Practice location:
  • Phone: 617-413-6353
  • Fax:
Mailing address:
  • Phone: 617-413-6353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111553
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: