Provider Demographics
NPI:1407332018
Name:EBY, SARAH ZWALLY (LSW, MSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ZWALLY
Last Name:EBY
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ZWALLY
Other - Last Name:EBY-ZEIDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:921 TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-1165
Mailing Address - Country:US
Mailing Address - Phone:717-330-9190
Mailing Address - Fax:
Practice Address - Street 1:121 LOCUST ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-1411
Practice Address - Country:US
Practice Address - Phone:717-238-8113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW132673104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker