National Provider Identifier
Sara Elizabeth Vidal, LMSW
Sara Elizabeth Vidal, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (697) 273-7494.
Profile Overview
- NPI
- 1104611326
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- April 09, 2025
- Last Updated
- April 09, 2025
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (697) 273-7494
Mailing Address
- 54 Hector St
- Trumansburg, NY 14886-9554
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1104611326
- Entity Type
- Individual
- Last Name
- Vidal
- First Name
- Sara
- Middle Name
- Elizabeth
- Credential
- LMSW
- Mailing Street Address
- 54 Hector St
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-9554
- Mailing Country
- US
- Mailing Phone
- (607) 882-4121
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (697) 273-7494
- Enumeration Date
- April 09, 2025
- Last Updated
- April 09, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)