Active NPI
Sarah Luchansky
- Clinical Social Worker
- Sarasota, FL
National Provider Identifier
1891067401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14584
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0700X | Medicaid | FL |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-78729 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Susan B Myket PC | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wesley Chapel, FL
- NPI 1528753290
-
- Clinical Psychologist
- Naperville, IL
- NPI 1457570251
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.