Sarah Isabelle Serluco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007759 Issued in GA

Practice address

2641 E College Ave Apt 472
Decatur, GA 30030-3369

Phone

(917) 416-7577

NPI assigned

Oct 27, 2021

Last updated

Oct 27, 2021By 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

Electronic endpoints 1

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1376207225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 E COLLEGE AVE APT 472",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303369",
            "telephone_number": "917-416-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 E COLLEGE AVE APT 472",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303369",
            "telephone_number": "917-416-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERLUCO",
        "first_name": "SARAH",
        "middle_name": "ISABELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "siscounseling.com",
            "affiliation": "N",
            "address_1": "2641 E College Ave Apt 472",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300303369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.