Provider Demographics
NPI:1962377366
Name:KREIDLER, SARAH (LSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KREIDLER
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 1:230 UNION ST APT 2
Mailing Address - Street 2:
Mailing Address - City:LUZERNE
Mailing Address - State:PA
Mailing Address - Zip Code:18709-1450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:102 ROCK ST
Practice Address - Street 2:
Practice Address - City:HUGHESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18640-3616
Practice Address - Country:US
Practice Address - Phone:570-287-9681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW143130104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker