Provider Demographics
NPI:1851625172
Name:DEGUZMAN, SARAH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:DEGUZMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SOUTH DELACEY AVE.
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2074
Mailing Address - Country:US
Mailing Address - Phone:909-913-0506
Mailing Address - Fax:626-395-7270
Practice Address - Street 1:210 SOUTH DELACEY AVE.
Practice Address - Street 2:SUITE 110
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2074
Practice Address - Country:US
Practice Address - Phone:909-913-0506
Practice Address - Fax:626-395-7270
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW657321041C0700X
CAASW29566104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical