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General NPI Number Information
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NPI Number | 1053070136
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Entity Type | Individual
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Provider Name | SIERRA CRIBB LCSW, MPH
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Gender | Female
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 03/15/2026
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Provider Practice Location Address
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Address Line | 135 S 19TH ST STE 250
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City | PHILADELPHIA
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State | PA
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Zip | 19103-4906
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Country | US
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Telephone | 267-974-7727
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 GRAYS FERRY AVE P.O. BOX 3857
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City | PHILADELPHIA
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State | PA
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Zip | 19146-9997
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Country | US
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Telephone | 267-326-1382
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW024035
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License Number State | PA
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