Healthcare Provider Details

I. General information

NPI: 1679028831
Provider Name (Legal Business Name): SARAH MAILHOT MSW. LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2016
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 HILLTOP DR
N SCITUATE RI
02857-1215
US

IV. Provider business mailing address

18 HILLTOP DR
N SCITUATE RI
02857-1215
US

V. Phone/Fax

Practice location:
  • Phone: 401-487-0883
  • Fax:
Mailing address:
  • Phone: 401-487-0883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: