MEDICARE: SARAH NUNN LCSW

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	44SC06614600	NJ

General Provider Information

NPI Number	:	1760298368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH NUNN LCSW

Provider Business Mailing Address
First Line	:	1100 JORIE BLVD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-2219
Country	:	US
Telephone Number	:	630-974-6602
Fax Number	:	630-487-2411

Provider Business Practice Location Address
First Line	:	161 WASHINGTON VALLEY RD STE 207
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-7177
Country	:	US
Telephone Number	:	630-974-6602
Fax Number	:	630-487-2411

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

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	02/12/2026

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