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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
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