Healthcare Provider Details

I. General information

NPI: 1003185984
Provider Name (Legal Business Name): SARAH A CRUZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2011
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 LAWN AVE
SELLERSVILLE PA
18960-1549
US

IV. Provider business mailing address

807 LAWN AVE
SELLERSVILLE PA
18960-1549
US

V. Phone/Fax

Practice location:
  • Phone: 484-822-5700
  • Fax: 833-705-2602
Mailing address:
  • Phone: 484-822-5700
  • Fax: 833-705-2602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017786
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: