Individual provider · Type 1 NPI

Carly Ann Sackellares, LCSW

Clinical Social Worker · Cumming, GA

NPI number 1417875758 Active

Practice location

104 Pilgrim Village Dr Ste 300
Cumming, GA 30040-9232

Mailing address

6038 Gables Ln Apt 6038
Sandy Springs, GA 30350-5036

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW010402 (GA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1417875758

Carly Ann Sackellares, LCSW's National Provider Identifier is 1417875758, issued on Jul 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cumming, GA. The record was last updated on Jul 6, 2026.