Individual
MRS. SARA D NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5 BANK STREET, NORTH BENNINGTON, VT 05257-0778
(802) 442-2000
(866) 830-0802
Mailing address
PO BOX 778, NORTH BENNINGTON, VT 05257-0778
(802) 442-2000
(866) 830-0802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001007
VT
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012942
MEDICARE PTAN
VT
05
—
1010561
—
VT
01
—
4145436
MVP
VT
01
—
558538000
BLUE CROSS/BLUE SHIELD
VT
Enumeration date
10/03/2006
Last updated
03/24/2017
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