Organization Active NPI

Elaine S. Sadkowski, LCSW, LLC

Doing business as 58 Winged Elm Court

  • Health Maintenance Organization
  • St Augustine, FL
National Provider Identifier
1710796230
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ELAINE S. SADKOWSKI, LCSW, LLC
Doing business as
58 Winged Elm Court
Elaine Sadkowski, LCSW, LLC
Practice address
58 Winged Elm CT
St Augustine, FL 32092-3547
Phone
(904) 470-0857
NPI assigned
Dec 31, 2024
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Elaine S. Sadkowski, LCSWNPI 1447353636
Title
Owner
Phone
(904) 516-7396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

58 Winged Elm CT
St Augustine, FL 32092-3547

Mailing address

58 Winged Elm CT
St Augustine, FL 32092-3547
Phone (904) 470-0857

Other names 2

  • 58 Winged Elm Court Doing business as
  • Elaine Sadkowski, LCSW, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1710796230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WINGED ELM CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923547",
            "telephone_number": "904-470-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 WINGED ELM CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923547",
            "telephone_number": "904-470-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE S. SADKOWSKI, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SADKOWSKI",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-516-7396",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "58 Winged Elm Court",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elaine Sadkowski, LCSW, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.