Healthcare Provider Details

I. General information

NPI: 1174155360
Provider Name (Legal Business Name): SARAH ELIZABETH CARDENAS LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ELIZABETH FENDER LSW

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SAINT MARYS RD
PYLESVILLE MD
21132-1316
US

IV. Provider business mailing address

306 W REDWOOD ST STE 4699
BALTIMORE MD
21201-1708
US

V. Phone/Fax

Practice location:
  • Phone: 443-219-6880
  • Fax:
Mailing address:
  • Phone: 443-219-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number29539
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: