Provider Demographics
NPI:1578166369
Name:KRICK, SARAH LYDIA (LMSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYDIA
Last Name:KRICK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3485 CONESTOGA RD
Mailing Address - Street 2:
Mailing Address - City:GLENMOORE
Mailing Address - State:PA
Mailing Address - Zip Code:19343-2605
Mailing Address - Country:US
Mailing Address - Phone:484-364-0199
Mailing Address - Fax:
Practice Address - Street 1:1755 OREGON PIKE STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4272
Practice Address - Country:US
Practice Address - Phone:717-851-5255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136313104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty