Avery Michael Sage, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

017432 Issued in CT

Practice address

4 Corporate Dr Ste 486
Shelton, CT 06484-6266

Phone

(475) 477-0278

NPI assigned

Dec 4, 2023

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecticut Counseling Group Limited Liability Company

  • Mental Health Counselor
  • Stamford, CT
  • NPI 1790594646

  Clinical

  NPD (past)
• Kelly Akehurst LPC LLC

  • Community/Behavioral Health Agency
  • Stamford, CT
  • NPI 1912676545
  NPD (past)

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1235905985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 HIGH RIDGE RD STE 137",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051221",
            "telephone_number": "475-477-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR STE 486",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846266",
            "telephone_number": "475-477-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "383 Orange St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065116421",
            "country_code": "US",
            "telephone_number": "475-477-0278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1177 High Ridge Rd Ste 137",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069051221",
            "country_code": "US",
            "telephone_number": "475-477-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGE",
        "first_name": "AVERY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyasia Russo
• Jennifer Lynn Ryan, MS, LADC
• Arianna Sabatino, DPT
• Michael J Safian, D.D.S.
• Sage Hollow Health PC
• Rayna P Salemme, MA, BSN, RN
• Salerno Wellness Center, LLC
• Louis D Salerno, LPC
• Azhane Samuel
• Annette C Sandt, D.C.

• Clinical Social Worker in Shelton, CT
• Providers in Shelton, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.