Provider Demographics
NPI:1104507532
Name:HAMRICK, SARAH LEANNE (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LEANNE
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:
Mailing Address - City:PINE GRV MLS
Mailing Address - State:PA
Mailing Address - Zip Code:16868-0076
Mailing Address - Country:US
Mailing Address - Phone:336-707-9710
Mailing Address - Fax:
Practice Address - Street 1:150 S KIRK ST
Practice Address - Street 2:
Practice Address - City:PINE GROVE MILLS
Practice Address - State:PA
Practice Address - Zip Code:16868-1035
Practice Address - Country:US
Practice Address - Phone:336-707-9710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0238041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical