Sierra Life Coaching

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SIERRA LIFE COACHING

Practice address

122 SW Crescent Ave
Port St Lucie, FL 34984-4327

Phone

(561) 373-0880

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Susana Lopez-Sierra, LCSWNPI 1790024289

Title

Owner/President

Phone

(561) 373-0880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Susana Lopez Sierra, MSW

  • Social Worker
  • Port Saint Lucie, FL
  • NPI 1790024289
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1689302390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SW CRESCENT AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844327",
            "telephone_number": "561-373-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SW CRESCENT AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844327",
            "telephone_number": "561-373-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA LIFE COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-SIERRA",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-373-0880",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moraima Altagracia Shulterbrandt
• Neveen Siblini, APRN
• Jennifer Sickles, PHARMD
• Alan Howard Siegel, O.D.
• Katherin Esther Sierra de Loyola
• Pavel Sigel, M.D.
• Lisa Silverberg, DDS
• Ronald J Silverberg, DC
• Linda Simbritz, PT
• Amanda Simionie, ARNP

• Clinical Social Worker in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.