Provider Demographics
NPI:1538589882
Name:KRUSZKA, SARAH (LMSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:KRUSZKA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 PACKARD ST
Mailing Address - Street 2:STE 210
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2073
Mailing Address - Country:US
Mailing Address - Phone:734-975-1602
Mailing Address - Fax:734-975-1604
Practice Address - Street 1:6276 JACKSON RD STE D
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9579
Practice Address - Country:US
Practice Address - Phone:734-956-0051
Practice Address - Fax:888-976-6019
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801107850104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker