Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 1031723 | MA |
NPI | 1003071929 |
---|---|
Provider Name | Sara Elinoff Acker |
First Address | Belchertown, MA 01007-4200 |
Second Address | Belchertown, MA 01007-4200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 18/03/2019 |