Provider Demographics
NPI:1114215803
Name:PRIMAK, SARAH MARCY (LSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARCY
Last Name:PRIMAK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 IRONSTONE DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9467
Mailing Address - Country:US
Mailing Address - Phone:717-799-0193
Mailing Address - Fax:717-560-6452
Practice Address - Street 1:1142 UNION SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-9644
Practice Address - Country:US
Practice Address - Phone:717-799-0193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0179831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical