Individual provider Active NPI

Sarah Rutherford Sacks, MSW LCSW CAP

  • Clinical Social Worker
  • Jupiter, FL
National Provider Identifier
1851453229
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6135 Issued in FL
Practice address
725 N Highway A1A Ste A104
Jupiter, FL 33477-4561
Phone
(561) 575-2020
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 SW6135 FL Primary

Addresses

Primary practice location

725 N Highway A1A Ste A104
Jupiter, FL 33477-4561

Mailing address

PO Box 410864
Melbourne, FL 32941-0864
Phone (561) 575-2020

Other practice location 1

6767 N Wickham Rd Ste 400
Melbourne, FL 32940-2025
Phone (561) 575-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000078 FL Practitioner - Clinical Social Worker 6204919160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

725 N Hwy A1A
Suite A104
Jupiter, FL 33477-4561
Phone (561) 575-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6135FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations at Jupiter Counseling Past Accepting new patients

Organizations & group practices 2

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1851453229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410864",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329410864",
            "telephone_number": "561-575-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N HIGHWAY A1A STE A104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774561",
            "telephone_number": "561-575-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6767 N Wickham Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402025",
            "country_code": "US",
            "telephone_number": "561-575-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACKS",
        "first_name": "SARAH",
        "middle_name": "RUTHERFORD",
        "name_prefix": "Ms.",
        "credential": "MSW  LCSW CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.