Organization Active NPI

Sage Therapy and Consulting Services, Licensed Clinical Social Worker

  • Clinical Social Worker
  • Palo Alto, CA
National Provider Identifier
1891557260
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAGE THERAPY AND CONSULTING SERVICES, LICENSED CLINICAL SOCIAL WORKER
Practice address
2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307
Phone
(650) 503-6494
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Jenna Boyovich, LCSWNPI 1669855540
Title
President
Phone
(650) 503-6494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307

Mailing address

2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307
Phone (650) 503-6494

Other practice location 1

2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307
Phone (650) 503-6494

Other names 1

  • Sage Therapy and Consulting Services, Licensed Clinical Social Worker Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1891557260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GENG RD STE 210",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033307",
            "telephone_number": "650-503-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GENG RD STE 210",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033307",
            "telephone_number": "650-503-6494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Geng Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943033307",
            "country_code": "US",
            "telephone_number": "650-503-6494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGE THERAPY AND CONSULTING SERVICES, LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "BOYOVICH",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-503-6494",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Therapy and Consulting Services, Licensed Clinical Social Worker",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.