Healthcare Provider Details

I. General information

NPI: 1407055817
Provider Name (Legal Business Name): SARI KUTCH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MADISON AVE STE 8077
NEW YORK NY
10022-5403
US

IV. Provider business mailing address

515 MADISON AVE STE 8077
NEW YORK NY
10022-5403
US

V. Phone/Fax

Practice location:
  • Phone: 646-496-2916
  • Fax:
Mailing address:
  • Phone: 646-496-2916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP057154
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberP057154
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP057154
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: