Healthcare Provider Details

I. General information

NPI: 1497079321
Provider Name (Legal Business Name): SARAH S SWENSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 SACO FALLS WAY
BIDDEFORD ME
04005-3943
US

IV. Provider business mailing address

PO BOX 711
KENNEBUNK ME
04043-0711
US

V. Phone/Fax

Practice location:
  • Phone: 207-468-3984
  • Fax:
Mailing address:
  • Phone: 207-468-3984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC12060
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: