MEDICARE: MS. SANDRA C SAWYER MSW 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
1	104100000X	Social Worker	106091	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	03554	OTHER		CIGNA HEALTH CARE
2	007242	OTHER		HARVARD PILGRIM
3	007181	OTHER		CHAMPUS TRICARE
4	753091	OTHER		TUFTS HEALTH
5	P04197	OTHER	MA	BCBS
6	199616000	OTHER		CMSP
7	199616000	OTHER		MAGELLAN HMO BLUE

General Provider Information

NPI Number	:	1366592107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA C SAWYER MSW LICSW

Provider Business Mailing Address
First Line	:	PO BOX 356
Second Line	:
City	:	EAST DENNIS
State	:	MA
Zip	:	02641
Country	:	US
Telephone Number	:	508-385-7474
Fax Number	:	508-385-1848

Provider Business Practice Location Address
First Line	:	1070 RT 134
Second Line	:
City	:	EAST DENNIS
State	:	MA
Zip	:	02641
Country	:	US
Telephone Number	:	508-385-7474
Fax Number	:	508-385-1848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	07/08/2007

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