Provider Demographics
NPI:1649627100
Name:TROTTA, SARAH (LCSW)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:TROTTA
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 1:744 SOUTH ST STE 214
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-2023
Mailing Address - Country:US
Mailing Address - Phone:215-948-2304
Mailing Address - Fax:
Practice Address - Street 1:744 SOUTH STREET STE 214
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147
Practice Address - Country:US
Practice Address - Phone:215-948-2304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-15
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC061395001041C0700X
DEQ1-00013971041C0700X
PACW0188201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical