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MISS SARAH KELLEHER LCSW
NPI 1609647742
Social Worker - Clinical in New York, NY

Active since January 09, 2024Opted out of Medicare · through Apr 3, 2027
767 BROADWAY, #1077, NEW YORK, NY 10003(201) 874-3139 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Sarah Kelleher Lcsw NPPES

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

MISS SARAH KELLEHER LCSW (NPI 1609647742) is an individual clinical provider in New York, New York, licensed in New York (09553101) and active in the NPI registry since January 2024. She has opted out of Medicare through April 3, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609647742
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS SARAH KELLEHERCredential: LCSW
Location Address767 BROADWAY, #1077New York, NY 10003
Mailing Address767 Broadway #1077Manhattan, NY 10003 · (201) 874-3139
Phone(201) 874-3139
Sole ProprietorYes
Enumeration DateJanuary 9, 2024
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1609647742 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 NY · 09553101
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.
767 BROADWAY, New York, NY 10003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Miss Sarah Kelleher Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 3, 2025 through April 3, 2027.

Opt-Out Effective DateApril 3, 2025
Opt-Out In Effect ThroughApril 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MS. ESTHER ARIEL HAYAT LCSW
Social Worker (Clinical)
767 BROADWAY, #1479
NEW YORK, NY 10003
New York County (347) 309-5126
MRS. MADELINE MCJUNKIN PUCHERIL LMSW
Social Worker
767 BROADWAY, PO BOX 1327
NEW YORK, NY 10003
New York County (813) 644-9912
DEANNA ROSE DOHERTY LMSW
Social Worker (Clinical)
767 BROADWAY, #1327
NEW YORK, NY 10003
New York County (781) 664-0647

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 Sarah Kelleher's NPI number?

The NPI number for Sarah Kelleher is 1609647742. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Sarah Kelleher located?

Sarah Kelleher practices at 767 Broadway #1077, New York, NY 10003. The listed phone number is (201) 874-3139.

What is Sarah Kelleher's specialty?

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

Is Sarah Kelleher enrolled in Medicare?

No. Sarah Kelleher has opted out of Medicare through April 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sarah Kelleher was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.