Provider Demographics
NPI:1780647628
Name:ANCAS, SANDRA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:ANCAS
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 1:1251 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:PA
Mailing Address - Zip Code:18643-1434
Mailing Address - Country:US
Mailing Address - Phone:570-342-8434
Mailing Address - Fax:570-299-2521
Practice Address - Street 1:470 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-3603
Practice Address - Country:US
Practice Address - Phone:570-342-8434
Practice Address - Fax:570-288-1084
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0128791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA808665OtherFIRST PRIORITY HEALTH
PAAN171800OtherHIGHMARK BLUE SHIELD
PA4610497OtherAETNA PROVIDER
PA2099373OtherCIGNA BEHAVIORAL HEALTH
PA70379OtherGEISINGER HEALTH PLAN
PA808665OtherFIRST PRIORITY HEALTH