Active NPI
Judith Stiles Saucerman, LCSW
- Clinical Social Worker
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW001616
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW001616 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformative Healthcare Solutions Inc | Clinical | Current | Accepting new patients |
| Georgia Outreach, LLC | Clinical | Current | Accepting new patients |
| J G Options, LLC | Past | Accepting new patients | |
| Idoc Holdings LLC | Past | 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.
-
- Optometrist
- Trenton, GA
- NPI 1336432251
-
- Social Worker
- Tucker, GA
- NPI 1457362279
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.