SACRED SELF-LOVE COUNSELING LCSW PC
NPI 1093677908
Social Worker in Brooklyn, NY

Active since November 29, 2025
336 LAFAYETTE AVE, BROOKLYN, NY 11238(718) 690-6313 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2026, Jan 6, 2026, Nov 29, 2025 (3 updates tracked since 2025).

About Sacred Self-love Counseling Lcsw Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED SELF-LOVE COUNSELING LCSW PC (NPI 1093677908) is a healthcare organization registered as a social worker in Brooklyn, New York and active in the NPI registry since November 2025. The organization maintains a secondary practice location in Jersey City and lists Cekira Bush-miguel, Owner, as its authorized official.

NPPES Registry Identity

NPI1093677908
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameSACRED SELF-LOVE COUNSELING LCSW PC
Location Address336 LAFAYETTE AVEBrooklyn, NY 11238-3308
Mailing Address2 Ash St Apt 318Jersey City, NJ 07304-4336 · (718) 690-6313
Organization SubpartNo
Authorized OfficialCekira Bush-miguelOwner · (718) 419-8111
Enumeration DateNovember 29, 2025
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1093677908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
336 LAFAYETTE AVE, Brooklyn, NY 11238

Secondary Practice Location 1

Location 12 Ash St Apt 318Jersey City, NJ 07304-4336 · Phone (718) 419-8111

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sacred Self-love Counseling Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sacred Self-Love Counseling Lcsw PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1700200029
590 AVENUE OF THE AMERICAS
New York, NY 10011
(212) 633-9300
✔ PECOS3.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Self-Love Counseling Lcsw PC's NPI number?

The NPI number for Sacred Self-Love Counseling Lcsw PC is 1093677908. It was assigned to this organization in the NPPES registry on November 29, 2025.

Where is Sacred Self-Love Counseling Lcsw PC located?

Sacred Self-Love Counseling Lcsw PC is located at 336 Lafayette Ave, Brooklyn, NY 11238. The listed phone number is (718) 690-6313.

What is Sacred Self-Love Counseling Lcsw PC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Sacred Self-Love Counseling Lcsw PC enrolled in Medicare?

Yes. Sacred Self-Love Counseling Lcsw PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacred Self-Love Counseling Lcsw PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sacred Self-Love Counseling Lcsw PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sacred Self-Love Counseling Lcsw PC was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.