Healthcare Provider Details

I. General information

NPI: 1386032340
Provider Name (Legal Business Name): SARA ADAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2014
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 N GOODMAN ST STE A300
ROCHESTER NY
14607-1171
US

IV. Provider business mailing address

274 N GOODMAN ST STE A300
ROCHESTER NY
14607-1171
US

V. Phone/Fax

Practice location:
  • Phone: 585-206-2631
  • Fax: 585-206-1006
Mailing address:
  • Phone: 585-206-2631
  • Fax: 585-206-1006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number090909-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number087985
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: