Sara Loose, LICSW
Individual provider Active NPI Clinical Social Worker · Waseca, MN
NPI 1003367186 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1003367186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 22844 (MN)
- Practice address
- 204 2ND St NW
Waseca, MN 56093-2402 - Phone
- (507) 835-7064
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22844 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Human Relations Center | Current |
Accepting new patients |
Locations
610 Florence Ave
Owatonna, MN 55060
Phone (507) 451-2630
204 2nd St NW
Waseca, MN 56093
Phone (507) 835-7064
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/schrc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22844 | MN | Yes |
Addresses
Primary practice location
204 2ND St NW
Waseca, MN 56093-2402
Mailing address
204 2ND St NW
Waseca, MN 56093-2402
Phone (507) 835-7064
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | messagec@direct.schrc.com |
Other providers in Waseca, MN
- Latham Place, LLC
- Sandra J. Lauring
- Savannah Kathryn Lenarz
- Hayli A Littlehead
- Amanda J Logan
- Aaron Matthew M Ingram
- Linda Lee Maher
- Mairs Chiropractic Inc
- Ryan Jason Mairs
- Mattilan Winter Martin Correa
All providers in Waseca, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.