Brandt-Douglas, Sarah
Brandt-Douglas, Sarah is an sole proprietor health care provider with primary practice located at 538 Bewley Building , Lockport NY 14094-2944. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Brandt-Douglas, Sarah can be contacted via phone (716) 417-5934.Contact Information
Primary practice address
538 Bewley Building
Lockport NY 14094-2944
Phone: (716) 417-5934
Fax: (716) 727-0073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | R0297641 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | R029764-1 | New York |
Profile Details
| NPI number | 1265571970 |
|---|---|
| LBN Legal business name | Brandt-Douglas, Sarah |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Sep 5th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265571970 | NPPES |
| New York | Other | 0051614690900 | CIGNA |
| New York | Other | 0404260300851 | CIGNA |
| New York | Other | 7404799 | CIGNA |
| New York | Other | 6207257 | CIGNA |
| New York | Other | 000510025003 | CIGNA |
| New York | Other | 00020562201 | CIGNA |
| New York | Other | 6622 | CIGNA |
| New York | MEDICAID | 01594678 | CIGNA |
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