Organization Active NPI

Sarah R Sacks Inc

  • Clinical Social Worker
  • Jupiter, FL
National Provider Identifier
1043489123
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6135 Issued in FL
Legal business name
SARAH R SACKS INC
Practice address
725 N Highway A1A Ste A104
Jupiter, FL 33477-4561
Phone
(561) 575-2020
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sarah R Sacks, LCSWNPI 1851453229
Title
Ceo
Phone
(561) 575-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW6135 FL Primary

Addresses

Primary practice location

725 N Highway A1A Ste A104
Jupiter, FL 33477-4561

Mailing address

PO Box 410864
Melbourne, FL 32941-0864
Phone (561) 575-2020

Other practice location 1

6767 N Wickham Rd Ste 400
Melbourne, FL 32940-2025
Phone (561) 575-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080722000298 FL Part B Supplier - Clinic/Group Practice 4880767003 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL; Melbourne, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1043489123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410864",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329410864",
            "telephone_number": "561-575-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N HIGHWAY A1A STE A104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774561",
            "telephone_number": "561-575-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6767 N Wickham Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402025",
            "country_code": "US",
            "telephone_number": "561-575-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARAH R SACKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-575-2020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.