Provider Demographics
NPI:1205201399
Name:DEKAY, SARAH (LSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:DEKAY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1427
Mailing Address - Country:US
Mailing Address - Phone:570-888-1541
Mailing Address - Fax:570-888-2380
Practice Address - Street 1:307 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:PA
Practice Address - Zip Code:18810-1710
Practice Address - Country:US
Practice Address - Phone:570-888-1541
Practice Address - Fax:570-888-2380
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW132916104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker