| Sara Diane Nolan, Licsw, Plc | |
|
5 Bank Street North Bennington VT 05257 | |
| (802) 442-2000 | |
| (866) 830-0802 |
| Full Name | Sara Diane Nolan, Licsw, Plc |
|---|---|
| Speciality | Social Worker |
| Location | 5 Bank Street, North Bennington, Vermont |
| Authorized Official Name and Position | Sara Diane Nolan (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8024422000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Diane Nolan, Licsw, Plc Po Box 778 North Bennington VT 05257-0778 Ph: (802) 442-2000 | Sara Diane Nolan, Licsw, Plc 5 Bank Street North Bennington VT 05257 Ph: (802) 442-2000 |
| NPI Number | 1689235970 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 2567799372 |
|---|---|
| Medicare Enrollment ID | O20190815002903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689235970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sara D Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194819847 PECOS PAC ID: 8426195462 Enrollment ID: I20091024000037 |
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