Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922037159 Individual Practitioner Female Practitioner

Soudabeh Abbey Sarlak , LICSW

Social Worker • Providence, RI

Professional Overview & Biography Verified Profile Summary

Soudabeh Sarlak, LICSW is a registered healthcare professional specializing in Social Worker in Providence, RI. Practice services are available at 825 CHALKSTONE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

825 Chalkstone Ave

Providence, RI 029084728

Telephone 4014562363
Fax 4014566744
Associated Practice Facility / Clinic
🏢 Roger Williams Medical Center Facility NPI 1649278250

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
135 Specialists

Practicing in Providence, RI (304 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License RI CSW00299

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Peter Olivieri , LMFT

Counselor - Addiction (Substance Use Disorder)

NPI 1316988363

Licensed Marriage and Family Therapist

Dr. Alex Etienne , MD

Internal Medicine - Addiction Medicine

NPI 1447221866

Doctor of Medicine (M.D.)

Kathryn Mccullough , LCSW

Counselor - Addiction (Substance Use Disorder)

NPI 1578014098

Licensed Clinical Social Worker

NPI 1598762346

Doctor of Medicine (M.D.)

Thomas Allen , MSW, LICSW

Social Worker - Clinical

NPI 1689668709

Master of Social Work, Licensed Independent Clinical Social Worker

Dr. Paul Brown , MD

Psychiatry & Neurology - Psychiatry

NPI 1750323739

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
NPI Profile Active April 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2017

Registered at 825 CHALKSTONE AVE, PROVIDENCE, RI 029084728 (Tel: 4014562363)

📍
Updated Business Mailing Address April 13, 2017

Registered at 825 CHALKSTONE AVE, PROVIDENCE, RI 029084728 (Tel: 4014562363)

👤
Provider Name / Credentials Updated April 13, 2017

Recorded as SOUDABEH SARLAK, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Social Worker (License #CSW00299 in RI)

👤
Provider Name / Credentials Updated January 12, 2017

Recorded as SOUDABEH SARLAK, LICSW

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 825 CHALKSTONE AVE, PROVIDENCE, RI 029084728 (Tel: 4014562363)

📍
Updated Business Mailing Address July 08, 2007

Registered at 825 CHALKSTONE AVE, PROVIDENCE, RI 029084728 (Tel: 4014562363)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SONDABEH SARLAK, LISCW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #CSW00299 in RI)

🟢
Initial NPI Registration & Enumeration July 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922037159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2006
Last Update: April 13, 2017
Sole Proprietor: Yes

Mailing Address

825 Chalkstone Ave

Providence, RI 029084728

Phone: 4014562363

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.