Kelly Ann Sayers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15484 Issued in FL

Practice address

1890 S 14TH St Ste 110
Fernandina Beach, FL 32034

Phone

(904) 556-7242

NPI assigned

Jun 15, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kelly Sayers Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fernandina Beach, FL
  • NPI 1225511280
  NPD Authorized official

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1841784550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861417 N HAMPTON CLUB WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348705",
            "telephone_number": "609-709-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S 14TH ST STE 110",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-556-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYERS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC
• Sammy Perkins MD PC
• Yash Pal Sangwan, MD
• Robert D Santrock, M.D.
• Dana Renee Sargent, LPN
• Richard Anton Schiano, ARNP FNP-BC
• Baylee Anne Schneider
• Peter Matthew Schoch, MD
• Renee Sharon Schock, AGACNP-BC
• Ansley Middleton Schuepbach, OD

• Clinical Social Worker in Fernandina Beach, FL
• Providers in Fernandina Beach, 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 Aug 15, 2018; 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.