Active NPI
Sarah Etkin-Sefcik, LCSW
- Clinical Social Worker
- Saratoga Springs, NY
National Provider Identifier
1023553146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 082474-R
- Practice address
- 210 Church St
Saratoga Springs, NY 12866-1010 - Phone
- (518) 580-0520
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 082474-R | NY | Primary |
Addresses
Primary practice location
210 Church St
Saratoga Springs, NY 12866-1010
Mailing address
222 East Ave
Saratoga Springs, NY 12866-3619
Other practice location 1
15 Maple Dell Ste 3
Saratoga Springs, NY 12866-2953
Phone (518) 313-0004
Other names 1
- Sarah Etkin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 Maple Dell
Suite 3
Saratoga Springs, NY 12866-2953
Phone (518) 313-0004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082474-R | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecs Wellness Psychology | Past | Accepting new patients | |
| Ecs Psychological Services PC | Clinical | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Saratoga Springs, NY
- NPI 1720540776
-
- Mental Health Counselor
- Saratoga Springs, NY
- NPI 1386285336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1023553146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 EAST AVE",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128663619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 CHURCH ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661010",
"telephone_number": "518-580-0520"
}
],
"practiceLocations": [
{
"address_1": "15 Maple Dell Ste 3",
"address_purpose": "LOCATION",
"city": "Saratoga Springs",
"state": "NY",
"postal_code": "128662953",
"country_code": "US",
"telephone_number": "518-313-0004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ETKIN-SEFCIK",
"first_name": "SARAH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "082474-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "ETKIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.