Leza M. Sarrouf, Licsw,LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LEZA M. SARROUF, LICSW,LLC

Practice address

7 Mystic St Ste 200
Arlington, MA 02474-1136

Phone

(617) 600-8760

NPI assigned

Jul 12, 2019

Organization subpart

No

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

Authorized official

Name

Leza Marie Sarrouf, LICSW

Title

Owner

Phone

(617) 851-2410

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1316599194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SPRINGFIELD ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721801",
            "telephone_number": "617-851-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MYSTIC ST STE 200",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741136",
            "telephone_number": "617-600-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 High St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "021553850",
            "country_code": "US",
            "telephone_number": "617-851-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEZA M. SARROUF, LICSW,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "SARROUF",
        "authorized_official_first_name": "LEZA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-851-2410",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Arlington, MA
• Providers in Arlington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.