Jennifer Grace Sacco, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103331 Issued in TX

Practice address

5453 Burnet Rd Apt 405
Austin, TX 78756-1636

Phone

(804) 767-0254

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1336879949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 BURNET RD APT 405",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 BURNET RD APT 405",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561636",
            "telephone_number": "804-767-0254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Bee Caves Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465254",
            "country_code": "US",
            "telephone_number": "512-298-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACCO",
        "first_name": "JENNIFER",
        "middle_name": "GRACE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "103331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sabra, M.D.
• Aysha Sabri, M.D.
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• Paula K. Sabrsula
• Bonnie Bliss Sacco, SLP
• Koushalya Sachdev
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• Sacred Space Collective
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• Sacred Willow Therapy, PLLC

• Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.