Sugar Loaf Mental Wellness, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUGAR LOAF MENTAL WELLNESS, LCSW, PLLC

Practice address

1108 Kings Hwy Ste 3C
Chester, NY 10918-3140

Phone

(518) 461-5772

NPI assigned

Apr 12, 2019

Organization subpart

No

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

Authorized official

Name

Sarah Emanuel, LCSW

Title

Owner

Phone

(518) 461-5772

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Thomas Joseph Shooman

  • Mental Health Counselor
  • New Windsor, NY
  • NPI 1699313254
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1215490545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 KINGS HWY STE 3C",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109183140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 KINGS HWY STE 3C",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109183140",
            "telephone_number": "518-461-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR LOAF MENTAL WELLNESS, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-461-5772",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Vernon Sooknanan, DPT, CSCS
• William Murray Soroka, DDS
• Amanda Spiegl
• Laura Jean Stubecki, OTR/L
• Ann M Studer, DC
• Surrey Psychotherapy LCSW PLLC
• Synergy of Spirit
• Jane C Taylor, LMSW
• Holli Teshome, MS/CCC-SLP
• The Medical Store, Inc.

• Clinical Social Worker in Chester, NY
• Providers in Chester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.