Degennaro, Sara

Degennaro, Sara is an sole proprietor health care provider with primary practice located at 211 N Main St Suite B, White River Junction VT 05001-7045. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Degennaro, Sara can be contacted via phone (802) 233-8755.

Contact Information

Primary practice address
211 N Main St Suite B White River Junction VT 05001-7045
Phone: (802) 233-8755
Fax: (802) 295-8833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000059 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0680000181 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 374 New Hampshire
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0600 New Hampshire

Profile Details

NPI number 1386693091
LBN Legal business name Degennaro, Sara
Credentials MA, LCMHC, LADC,CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Oct 13th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386693091 NPPES
Vermont Other 29434 MH BC/BS
Vermont MEDICAID 1006714 MH BC/BS
Vermont MEDICAID 3100214 MH BC/BS
Vermont Other 49993 MH BC/BS
Vermont MEDICAID 30422317 MH BC/BS

Popular Providers