Paint the Sky Blue LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PAINT THE SKY BLUE LCSW PLLC

Practice address

117 Dobbin St Ste 304
Brooklyn, NY 11222-2803

Phone

(718) 387-6045

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Jacob, LCSWNPI 1902586340

Title

Owner

Phone

(718) 387-6045

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, and the practitioner matching its NPPES authorized official.

• Sarah Ann Jacob

  • Clinical Social Worker
  • New York, NY
  • NPI 1902586340
  NPD Authorized official

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1265245419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 90TH ST APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DOBBIN ST STE 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222803",
            "telephone_number": "718-387-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINT THE SKY BLUE LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-387-6045",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Relief Corp
• Painless, Comfortable, Vigorous, Vibrant, Alive and Healthy Inc
• Painless, Comfortable, Vigorous, Vibrant, Alive and Healthy Inc
• Laura Paino, RN
• Jean Luther Painson
• Lauren Michelle Paish, M.D.
• Chloe Paisley, L.AC., NCCAOM DIPLOM
• Nicholas Paitsel
• Augusto D Paiusco, M.D.
• Shalyni Paiyappilly

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 30, 2025; 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.