Individual provider Active NPI

Judith Stiles Saucerman, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1447312962
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001616 Issued in GA
Practice address
7130 Hodgson Memorial Dr Ste 101
Savannah, GA 31406-1527
Phone
(912) 247-9987
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW001616 GA Primary

Addresses

Primary practice location

7130 Hodgson Memorial Dr Ste 101
Savannah, GA 31406-1527

Mailing address

111 Sugar Mill Cir
Savannah, GA 31419-9431
Phone (912) 247-9987

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070403000585 GA Practitioner - Clinical Social Worker 0840394680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Outreach, LLCGroup PAC ID 5193900777, 4 clinicians

Practice addresses (Care Compare)

314 Stephenson Ave
Suite a
Savannah, GA 31405-4347
Phone (912) 349-4495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW001616GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Healthcare Solutions Inc Clinical CurrentSince Aug 26, 2020 Accepting new patients
Georgia Outreach, LLC Clinical CurrentSince May 1, 2017 Accepting new patients
J G Options, LLC PastSince Jan 10, 2005 Accepting new patients
Idoc Holdings LLC PastSince Jan 11, 2019 Accepting new patients

Locations

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

1201 Shadowlawn Dr
Ste 119
Saint Marys, GA 31558
Phone (912) 290-2020

7130 Hodgson Memorial Dr
Ste 101
Savannah, GA 31406
Phone (912) 349-4495

314 Stephenson Ave
Ste A
Savannah, GA 31405
Phone (912) 349-4495

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1447312962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SUGAR MILL CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199431",
            "telephone_number": "912-247-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 HODGSON MEMORIAL DR STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061527",
            "telephone_number": "912-247-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCERMAN",
        "first_name": "JUDITH",
        "middle_name": "STILES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.