MEDICARE: SARAH CICERO LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	120155	NY

General Provider Information

NPI Number	:	1942099874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CICERO LMSW

Provider Business Mailing Address
First Line	:	330 W 58TH ST STE 401
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-1821
Country	:	US
Telephone Number	:	516-308-1239
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 W 58TH ST STE 401
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-1821
Country	:	US
Telephone Number	:	718-673-2021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	02/09/2026

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