Provider Demographics
NPI:1245401140
Name:NICHOLSON, SARAH CATHERINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CATHERINE
Last Name:NICHOLSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:CATHERINE
Other - Last Name:HALLADAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, CADC
Mailing Address - Street 1:209 NORTHBANK RD
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-9149
Mailing Address - Country:US
Mailing Address - Phone:302-256-1743
Mailing Address - Fax:
Practice Address - Street 1:209 NORTHBANK RD
Practice Address - Street 2:
Practice Address - City:LANDENBERG
Practice Address - State:PA
Practice Address - Zip Code:19350-9149
Practice Address - Country:US
Practice Address - Phone:302-256-1743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00012421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical