Provider Demographics
NPI:1861608697
Name:EVERY, SARA E (LCSW)
Entity type:Individual
Prefix:MISS
First Name:SARA
Middle Name:E
Last Name:EVERY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 BLOOMFIELD AVE
Mailing Address - Street 2:APT. C-3
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-1327
Mailing Address - Country:US
Mailing Address - Phone:973-655-0020
Mailing Address - Fax:
Practice Address - Street 1:969 BLOOMFIELD AVE
Practice Address - Street 2:APT. C-3
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028-1327
Practice Address - Country:US
Practice Address - Phone:973-985-0651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052353001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical