Irene T Sack Counseling Services

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

R052758-1 Issued in NY

Legal business name

IRENE T SACK COUNSELING SERVICES

Practice address

300 Tulip St
Room 20
Liverpool, NY 13088-4965

Phone

(315) 247-3208

Fax

(315) 453-6347

NPI assigned

Jul 24, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Irene T Sack, LCSW,CASAC,CHTNPI 1457373680

Title

Owner/ Clinical Social Worker

Phone

(315) 247-3208

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene T. Sack, L.C.S.W.

  • Clinical Social Worker
  • Liverpool, NY
  • NPI 1457373680
  NPD (past) Authorized official

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1588006159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TULIP ST",
            "address_2": "ROOM 20",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884965",
            "telephone_number": "315-247-3208",
            "fax_number": "315-453-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TULIP ST",
            "address_2": "ROOM 20",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884965",
            "telephone_number": "315-247-3208",
            "fax_number": "315-453-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE T SACK COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "315-247-3208",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW,CASAC,CHT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "R052758-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infusacare Medical Services,P.C.
• Nicole Ann Insel, RN, MSN, FNP
• Insight to Clinical Therapy LCSW PLLC
• Insightful Therapy, LCSW, PLLC
• Kimberly Love Intino, OT
• Lisa J. Isabell, NP
• David John Isabella, DC
• Rachel Jennifer Isabelle, FNP-BC
• Ayman Iskander, MD
• Clifford Lawrence Ivers, PHD

• Preferred Provider Organization in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.