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NPI Code Detail

MEDICARE: MRS. SARA MARIE RIVET LICSW

MEDICARE: MRS. SARA MARIE RIVET LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker113152MA

General Provider Information

NPI Number : 1356432751
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARA MARIE RIVET LICSW
Provider Business Mailing Address
First Line : 56 WORONOCO RD
Second Line :
City : BLANDFORD
State : MA
Zip : 01008-9553
Country : US
Telephone Number : 413-519-0497
Fax Number :
Provider Business Practice Location Address
First Line : 59 INTERSTATE DR
Second Line :
City : WEST SPRINGFIELD
State : MA
Zip : 01089-5100
Country : US
Telephone Number : 774-206-1125
Fax Number : 774-628-9657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 11/10/2025

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