Healthcare Provider Details

I. General information

NPI: 1740905884
Provider Name (Legal Business Name): SARAH BABICK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3110 HAMILTON BLVD
ALLENTOWN PA
18103-3630
US

IV. Provider business mailing address

1213 MAPLE ST
BETHLEHEM PA
18018-2924
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-4304
  • Fax:
Mailing address:
  • Phone: 814-762-4113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: