Individual provider Active NPI

Sarah Perl, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1730467762
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078739-1 Issued in NY
Practice address
291 Broadway
Suite 1401
New York, NY 10007-1814
Phone
(518) 894-8512
Fax
(212) 253-2607
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078739-1 NY Primary

Addresses

Primary practice location

291 Broadway
Suite 1401
New York, NY 10007-1814

Mailing address

291 Broadway
Suite 1401
New York, NY 10007-1814
Phone (518) 894-8512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 20, 2025 through Jan 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
078739-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Perl, LCSW PLLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

291 Broadway
Rm 1401
New York, NY 10007
Phone (518) 894-8512

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1730467762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 BROADWAY",
            "address_2": "SUITE 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071814",
            "telephone_number": "518-894-8512",
            "fax_number": "212-253-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROADWAY",
            "address_2": "SUITE 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071814",
            "telephone_number": "518-894-8512",
            "fax_number": "212-253-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERL",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078739-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.