Individual provider Active NPI

Marli Leah Sarecky, LCSW, LCSWC, LICSW

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1376112862
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27362 Issued in MD
Practice address
11904 Darnestown Rd Ste F
Gaithersburg, MD 20878-3202
Phone
(301) 835-2732
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904016522 VA
Clinical Social Worker 1041C0700X 27362 MD Primary
Clinical Social Worker 1041C0700X LC200003223 DC

Addresses

Primary practice location

11904 Darnestown Rd Ste F
Gaithersburg, MD 20878-3202

Mailing address

7700 Old Georgetown Rd Ste 675
Bethesda, MD 20814-6100
Phone (301) 785-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27362MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1376112862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OLD GEORGETOWN RD STE 675",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146100",
            "telephone_number": "301-785-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 DARNESTOWN RD STE F",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783202",
            "telephone_number": "301-835-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARECKY",
        "first_name": "MARLI",
        "middle_name": "LEAH",
        "credential": "LCSW, LCSWC, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016522",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27362",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.