Provider Demographics
NPI:1407332018
Name:EBY, SARAH ZWALLY (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ZWALLY
Last Name:EBY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ZWALLY
Other - Last Name:EBY-ZEIDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:290 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-9533
Mailing Address - Country:US
Mailing Address - Phone:717-330-9190
Mailing Address - Fax:
Practice Address - Street 1:206 S MARKET ST STE 222
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2420
Practice Address - Country:US
Practice Address - Phone:717-478-1150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW024495101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty