Individual provider Active NPI

Sarah Luchansky

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1891067401
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14584 Issued in FL
Practice address
4167 Clark Rd
Sarasota, FL 34233-2403
Phone
(941) 219-3111
Fax
(941) 894-1322
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-78729 FL
Clinical Social Worker 1041C0700X SW14584 FL Primary

Addresses

Primary practice location

4167 Clark Rd
Sarasota, FL 34233-2403

Mailing address

6976 Professional Pkwy E
Lakewood Ranch, FL 34240-8414
Phone (941) 308-4641

Other practice location 1

1415 Bond St Ste 127
Naperville, IL 60563-2769
Phone (630) 355-9002

Other practice location 2

3823 E State Road 64
Bradenton, FL 34208-9041
Phone (941) 745-5111

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XMedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 26, 2016 through Jan 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RBT-19-78729FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Susan B Myket PC PastSince Apr 13, 2026 Accepting new patients
Gulf Coast Psychotherapy Clinical Past Accepting new patients
Awesome Minds Psychiatric LLC Past Accepting new patients

Organizations & group practices 3

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1891067401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6976 PROFESSIONAL PKWY E",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408414",
            "telephone_number": "941-308-4641",
            "fax_number": "941-342-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4167 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332403",
            "telephone_number": "941-219-3111",
            "fax_number": "941-894-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Bond St Ste 127",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605632769",
            "country_code": "US",
            "telephone_number": "630-355-9002",
            "fax_number": "866-441-1136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3823 E State Road 64",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342089041",
            "country_code": "US",
            "telephone_number": "941-745-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCHANSKY",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-78729",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.