Provider Demographics
NPI:1871742122
Name:REID, SARAH V (LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:V
Last Name:REID
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MAXWELLS GRN
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2679
Mailing Address - Country:US
Mailing Address - Phone:617-545-7414
Mailing Address - Fax:
Practice Address - Street 1:3 MAXWELLS GRN
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2679
Practice Address - Country:US
Practice Address - Phone:617-299-0874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2023-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8411OtherBMC
MA1001550OtherNHP
MA1319744Medicaid