Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

CARLY ANN SACKELLARES LCSW
NPI 1417875758
Social Worker - Clinical in Cumming, GA

Active since July 06, 2026
104 PILGRIM VILLAGE DR STE 300, CUMMING, GA 30040(678) 740-3022 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Ann Sackellares Lcsw NPPES

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

CARLY ANN SACKELLARES LCSW (NPI 1417875758) is an individual clinical provider in Cumming, Georgia, licensed in Georgia (CSW010402) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1417875758
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLY ANN SACKELLARESCredential: LCSW
Location Address104 PILGRIM VILLAGE DR STE 300Cumming, GA 30040-9232
Mailing Address6038 Gables Ln Apt 6038Sandy Springs, GA 30350-5036 · (770) 846-0128
Sole ProprietorYes
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
NPI 1417875758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in GA · CSW010402
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
104 PILGRIM VILLAGE DR STE 300, Cumming, GA 30040

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Social Worker (Clinical)
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Clinic/Center (Mental Health (Including Community Mental Health Center))
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Social Worker (Clinical)
104 PILGRIM VILLAGE DR STE 300, SUITE 4245
CUMMING, GA 30040
Counselor (Professional)
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Counselor
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Social Worker
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040
Counselor (Professional)
104 PILGRIM VILLAGE DR STE 300
CUMMING, GA 30040

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 Carly Sackellares's NPI number?

The NPI number for Carly Sackellares is 1417875758. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Carly Sackellares located?

Carly Sackellares practices at 104 Pilgrim Village Dr Ste 300, Cumming, GA 30040. The listed phone number is (678) 740-3022.

What is Carly Sackellares's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Carly Sackellares was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.