Provider Demographics
NPI:1871929505
Name:JAMISON, SARAH E (LMSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:E
Last Name:JAMISON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 ELIZABETH ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1720
Mailing Address - Country:US
Mailing Address - Phone:845-532-0257
Mailing Address - Fax:
Practice Address - Street 1:54 ELIZABETH ST
Practice Address - Street 2:SUITE 11
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1720
Practice Address - Country:US
Practice Address - Phone:845-532-0257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health