Healthcare Provider Details

I. General information

NPI: 1063849354
Provider Name (Legal Business Name): LAKERI SARTIN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 49TH ST NE
WASHINGTON DC
20019-4706
US

IV. Provider business mailing address

301 49TH ST NE
WASHINGTON DC
20019-4706
US

V. Phone/Fax

Practice location:
  • Phone: 202-388-6870
  • Fax:
Mailing address:
  • Phone: 202-388-6870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50079114
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberLC500079114
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: