Sacred Space Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SACRED SPACE THERAPY

Practice address

26 Berkshire Rd
Merrick, NY 11566-3710

Phone

(516) 253-1274

NPI assigned

Dec 27, 2023

Last updated

Dec 27, 2023By 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

Ms. Marlene Rodgers, LCSW-R, CASACNPI 1760716682

Title

Owner

Phone

(516) 253-1274

Specialties & licenses 1

Addresses

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.

• Marlene R. Rodgers, LCSW AND LMHC

  • Clinical Social Worker
  • Merrick, NY
  • NPI 1760716682
  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1306615794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BERKSHIRE RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663710",
            "telephone_number": "516-253-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BERKSHIRE RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663710",
            "telephone_number": "516-253-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-253-1274",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R, CASAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Rust
• Kerry Rut, D.O.
• William J Ryan, P.T.
• S. C. Schwartz, D.D.S., PLLC (Star Smiles Orthodontics)
• Allison Sabbagh, LCAT
• Marla Sue Sadownick, M.S.,P.T.
• Stephanie Sager, DDS
• Maria Rose Salvato, RN
• Ronald Sambat, LMT, MS
• Jennifer Lynn Sampson, OTR/L, CHT

• Clinical Social Worker in Merrick, NY
• Providers in Merrick, 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 Dec 27, 2023; 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.