Individual
JOHANNA SARAH CROCETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
519 MAIN ST, SUITE A, ROYERSFORD, PA 19468-2305
(860) 324-8792
Mailing address
393 COVERED BRIDGE RD, KING OF PRUSSIA, PA 19406-1769
(860) 324-8792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW125699
PA
1041C0700X
Clinical Social Worker
Primary
CW017182
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487745386
—
PA
05
—
461199781
—
PA
Enumeration date
03/23/2010
Last updated
06/25/2015
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