Individual provider Active NPI

Lee Sarlo, LCSW

  • Clinical Social Worker
  • Winchester, VA
National Provider Identifier
1477148013
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012681 Issued in VA
Practice address
47 W Jubal Early Dr Ste 100
Winchester, VA 22601-6637
Phone
(540) 216-2302
Fax
(540) 450-2783
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X VA
Clinical Social Worker 1041C0700X 0904012681 VA Primary

Addresses

Primary practice location

47 W Jubal Early Dr Ste 100
Winchester, VA 22601-6637

Mailing address

47 W Jubal Early Dr Ste 100
Winchester, VA 22601-6637
Phone (804) 212-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 9, 2024 through Jan 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904012681VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of VA Inc PastSince Jan 17, 2021 Accepting new patients
Lutheran Family Services of VA Mental Health PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 2

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1477148013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W JUBAL EARLY DR STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016637",
            "telephone_number": "804-212-6226",
            "fax_number": "540-450-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W JUBAL EARLY DR STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016637",
            "telephone_number": "540-216-2302",
            "fax_number": "540-450-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARLO",
        "first_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.