Nicolette Suzanne Sachs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW3589 Issued in AZ

Practice address

2323 E Greenlaw LN
Suite 10
Flagstaff, AZ 86004-1810

Phone

(928) 526-1961

Fax

(928) 526-0722

NPI assigned

Dec 11, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Mountain Waves Healing Arts, Inc.

  • Psychologist
  • Flagstaff, AZ
  • NPI 1003932898
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659431328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN",
            "address_2": "SUITE 10",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041810",
            "telephone_number": "928-526-1961",
            "fax_number": "928-526-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN",
            "address_2": "SUITE 10",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041810",
            "telephone_number": "928-526-1961",
            "fax_number": "928-526-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "NICOLETTE",
        "middle_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW3589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Scott Rybka, MD
• Matthew Kevin Rydberg, MD
• Ryder Medical PC
• Matthew Rysdyk, ATC
• Mathew Sabicer, RN
• Sacred Peaks Health Center DME (Sacred Peaks Health Center)
• Jermaine Isip Saddi-Alvarez
• Andrew Saenz, D.C
• Safe Harbor Counseling, PLLC
• Safeway Inc (Safeway Pharmacy #1225)

• Clinical Social Worker in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.