Rae Kocen Sirott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003567 Issued in GA

Practice address

3654 S Marlborough Dr
Tucker, GA 30084-8313

Phone

(404) 376-1104

NPI assigned

Sep 19, 2022

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revere Counseling and Care Management LLCGroup PAC ID 3577811520, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revere Counseling and Care Management LLC

  • Social Worker
  • Decatur, GA
  • NPI 1114429412

  GA

  Medicare reassignment Care Compare group NPD
• Uplifted Living, LLC

  • Clinical Social Worker
  • Tucker, GA
  • NPI 1619600178

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1376265108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 S MARLBOROUGH DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848313",
            "telephone_number": "404-376-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 S MARLBOROUGH DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848313",
            "telephone_number": "404-376-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTT",
        "first_name": "RAE",
        "middle_name": "KOCEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sugandha Singh, DMD
• Herbert Alfred Singleton, M.D.
• Sinorien Healthcare Service
• Sinorien Healthcare Services
• Sirad ABA LLC
• Henry Grady Skelton III, MD
• Ashley M. Skidmore, LCSW
• Sleep Better Atlanta, LLC
• Smiley'S Hair Clinic LLC
• Smiley'S Hair Clinic LLC

• All providers in Tucker, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.