Provider Demographics
NPI:1144342486
Name:WON, SARAH S (LCSW, APRN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:S
Last Name:WON
Suffix:
Gender:F
Credentials:LCSW, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-0580
Mailing Address - Country:US
Mailing Address - Phone:908-412-0900
Mailing Address - Fax:732-662-3306
Practice Address - Street 1:24 WERNIK PL
Practice Address - Street 2:SUITE E
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2468
Practice Address - Country:US
Practice Address - Phone:908-412-0900
Practice Address - Fax:732-662-3306
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00130300363LP0808X
NJ44SC054101001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical