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NPI Code Detail

MEDICARE: SARAH T DU LCSW

MEDICARE:   SARAH T DU  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW022971PA
2104100000XSocial WorkerSW136939PA
3101YA0400XAddiction (Substance Use Disorder) Counselor12554PA
4101Y00000XCounselor

General Provider Information

NPI Number : 1174088868
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH T DU LCSW
Provider Business Mailing Address
First Line : 701 E CATHEDRAL RD STE 45
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-2128
Country : US
Telephone Number : 609-400-2317
Fax Number :
Provider Business Practice Location Address
First Line : 701 E CATHEDRAL RD STE 45
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-2128
Country : US
Telephone Number : 609-400-2317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2019
Last Update Date : 01/08/2026

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