Judith Ann Sachs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 8396 Issued in FL

Practice address

14041 Icot Blvd
Clearwater, FL 33760-3702

Phone

(727) 479-1800

Fax

(727) 479-1248

NPI assigned

Feb 14, 2007

Last updated

Mar 12, 2008By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1689717506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14011 SHADY SHORES DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131932",
            "telephone_number": "813-205-8153",
            "fax_number": "727-479-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603702",
            "telephone_number": "727-479-1800",
            "fax_number": "727-479-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768029500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST COAST - MEDICARE B",
            "identifier": "AG421Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bozena Barbara Sabala, D.O.
• Jalina Noelle Sabatose, PA-C
• Farida Sabet, APRN
• Michael D Saccente, D.O.
• Shannon Stewart Sachon, PHARMD
• Sacsan Ventures LLC
• Engy Sadek
• Safe Harbor Insurance Services, LLC
• Safety Harbor ASC Company LLC (Safety Harbor Surgery Center)
• Safety Harbor Physical Therapy LP (Apex Rehabilitation Center)

• Clinical Social Worker in Clearwater, FL
• Providers in Clearwater, 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 Mar 12, 2008; 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.