Organization Active NPI

Sara McCullah

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1124563838
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0849931 Issued in NY
Legal business name
SARA MCCULLAH
Practice address
506 5TH Ave
#4
Brooklyn, NY 11215-4812
Phone
(347) 687-3171
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Sara McCullah, LCSW
Title
Clinical Social Worker
Phone
(347) 785-7078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0849931 NY Primary

Addresses

Primary practice location

506 5TH Ave
#4
Brooklyn, NY 11215-4812

Mailing address

216A Albany Ave
Brooklyn, NY 11213-2120
Phone (347) 785-7078

Other identifiers 1

IdentifierTypeStateIssuer
0849931OtherNYLCSW LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

506 5th Ave
#4
Brooklyn, NY 11215
Phone (347) 687-3171

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1124563838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216A ALBANY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132120",
            "telephone_number": "347-785-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 5TH AVE",
            "address_2": "#4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154812",
            "telephone_number": "347-687-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA MCCULLAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "MCCULLAH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "347-785-7078",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0849931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "0849931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.