Provider Demographics
NPI:1760831176
Name:KRUTSINGER, SARAH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:KRUTSINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BIG TREES RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:MURPHYS
Mailing Address - State:CA
Mailing Address - Zip Code:95247
Mailing Address - Country:US
Mailing Address - Phone:209-728-1824
Mailing Address - Fax:
Practice Address - Street 1:150 BIG TREES RD
Practice Address - Street 2:SUITE D
Practice Address - City:MURPHYS
Practice Address - State:CA
Practice Address - Zip Code:95247-9101
Practice Address - Country:US
Practice Address - Phone:209-728-1824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA613841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical