Provider Demographics
NPI:1558012245
Name:SICHI, SARA ALANE (LSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ALANE
Last Name:SICHI
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 1:800 PLAZA DRIVE
Mailing Address - Street 2:SUITE 270
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012
Mailing Address - Country:US
Mailing Address - Phone:724-258-1226
Mailing Address - Fax:888-443-9115
Practice Address - Street 1:800 PLAZA DRIVE
Practice Address - Street 2:SUITE 270
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012
Practice Address - Country:US
Practice Address - Phone:724-258-1226
Practice Address - Fax:888-443-9115
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134581104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker