Healthcare Provider Details

I. General information

NPI: 1245401140
Provider Name (Legal Business Name): SARAH CATHERINE NICHOLSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH CATHERINE HALLADAY LCSW, CADC

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 NORTHBANK RD
LANDENBERG PA
19350-9149
US

IV. Provider business mailing address

209 NORTHBANK RD
LANDENBERG PA
19350-9149
US

V. Phone/Fax

Practice location:
  • Phone: 302-256-1743
  • Fax:
Mailing address:
  • Phone: 302-256-1743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0001242
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: