Larson, Sarah Ellen

Larson, Sarah Ellen is an individual health care provider with primary practice located at 223 N 5Th St , Olean NY 14760-2303. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Larson, Sarah Ellen can be contacted via phone (716) 372-6103.

Contact Information

Primary practice address
223 N 5Th St Olean NY 14760-2303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R038726-1 New York

Profile Details

NPI number 1639108251
LBN Legal business name Larson, Sarah Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639108251 NPPES
New York Other 000523774003 BLUECROSSBLUESHIELD
New York Other 6207965 BLUECROSSBLUESHIELD

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