OrganizationPractical Sage, Clinical Social Work ServicesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address126 3rd Ave N Ste 104, Safety Harbor, FL 34695-3658(727) 712-0039PECOS EnrollmentBased on the most recent information from CMS, provider Practical Sage, Clinical Social Work Services does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 8:18 PM.Profile DetailsProvider ID1144963810Provider TypeOrganizationFull NamePractical Sage, Clinical Social Work ServicesSubpartNoEnumeration Date4/19/2022Last Updated10/19/2022Contact InformationPractice LocationPractice Address126 3rd Ave N Ste 104, Safety Harbor, FL 34695-3658Phone(727) 712-0039FaxUnlisted FaxMailing LocationMailing Address306 Hamilton Ave, Safety Harbor, FL 34695-3213Phone(727) 712-0039FaxUnlisted FaxAuthorized OfficialNameGavitt-Rivera, Lauren (Director)Phone(727) 712-0039Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID104967000DescriptionMedicaidIssuerUnlistedFlorida