MEDICARE: MS. SARAH BETH PARKERSON 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	1041C0700X	Clinical Social Worker	118812	MA

General Provider Information

NPI Number	:	1518240266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH BETH PARKERSON LICSW

Provider Business Mailing Address
First Line	:	93 UNION ST STE 320
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-2241
Country	:	US
Telephone Number	:	617-564-1131
Fax Number	:	617-469-8546

Provider Business Practice Location Address
First Line	:	93 UNION ST STE 320
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-2241
Country	:	US
Telephone Number	:	617-564-1131
Fax Number	:	617-469-8546

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

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	01/25/2017

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