Healthcare Provider Details

I. General information

NPI: 1598678930
Provider Name (Legal Business Name): SARAH FAY LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 N HEPBURN AVE STE 206
JUPITER FL
33458-5015
US

IV. Provider business mailing address

105 SPRINGWATER DR
JUPITER FL
33458-7745
US

V. Phone/Fax

Practice location:
  • Phone: 561-427-5082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW27388
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: