Healthcare Provider Details

I. General information

NPI: 1326901570
Provider Name (Legal Business Name): SARAH WILLOUGHBY LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 W COMMERCIAL ST STE 7
EAST ROCHESTER NY
14445-2171
US

IV. Provider business mailing address

129 W COMMERCIAL ST STE 7
EAST ROCHESTER NY
14445-2171
US

V. Phone/Fax

Practice location:
  • Phone: 585-582-7740
  • Fax:
Mailing address:
  • Phone: 585-582-7740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARAH WILLOUGHBY
Title or Position: OWNER
Credential: LCSW
Phone: 585-582-7740