Provider Demographics
NPI:1780731497
Name:CRESS, SARA HELEN (LCSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:HELEN
Last Name:CRESS
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 1:2050 S BLOSSER RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7310
Mailing Address - Country:US
Mailing Address - Phone:805-361-8028
Mailing Address - Fax:805-361-8097
Practice Address - Street 1:325 POSADA LN
Practice Address - Street 2:SUITES A-C
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-4003
Practice Address - Country:US
Practice Address - Phone:805-542-6700
Practice Address - Fax:805-542-6791
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS97071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFHC71031FMedicaid
CAFHC70936FMedicaid
CALCS9707OtherLICENSE
CAFHC70737FMedicaid
CAFHC71030FMedicaid
CAFHC70936FMedicaid
CAW1508CMedicare PIN
CACW291ZMedicare PIN
CAFHC70737FMedicaid
CA551983Medicare Oscar/Certification
CA551905Medicare Oscar/Certification
CAW1508EMedicare PIN
CTCW291YMedicare PIN
CAFHC71030FMedicaid
CACW291WMedicare PIN
CALCS9707OtherLICENSE
CA551907Medicare Oscar/Certification