MEDICARE: SARAH E MENSCH 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	226104	MA

General Provider Information

NPI Number	:	1942951124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH E MENSCH LICSW

Provider Business Mailing Address
First Line	:	248 KELTON ST APT 15
Second Line	:
City	:	ALLSTON
State	:	MA
Zip	:	02134-4427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 RESERVOIR ST STE 21
Second Line	:
City	:	NEEDHAM HEIGHTS
State	:	MA
Zip	:	02494-3133
Country	:	US
Telephone Number	:	862-432-7249
Fax Number	:

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

Provider Enumeration Date	:	01/10/2022
Last Update Date	:	01/17/2023

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Directions to “ SARAH E MENSCH LICSW” Practice Location

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