Sara Champie

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

87702 Issued in CA

Practice address

435 Petaluma Ave Ste 140
Sebastopol, CA 95472-4273

Phone

(707) 861-0577

NPI assigned

Apr 8, 2015

Last updated

Jul 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psych Strategies Inc a Psychological Corp

  dba PsychStrategies

  • Psychologist
  • Santa Rosa, CA
  • NPI 1699775411
  NPD (past)
• Redwood Valley Health Clinic, Inc.

  • Family Medicine Physician
  • Redwood Valley, CA
  • NPI 1477853877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1013303809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954730472",
            "telephone_number": "707-861-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PETALUMA AVE STE 140",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724273",
            "telephone_number": "707-861-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPIE",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "65842",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "65842",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "87702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Carlock, M.A.
• Mary Ann Carpenter, LMFT
• Miranda Natalia Carpenter, RD
• Anne Casey-Nielson
• Emilce Castro Deller, MSW
• Charlene Renee Chan, D.D.S., M.S.D.
• Valerie Chan
• Margaret B Chandler
• Charles N Harris PHD a Psychological Corp
• Geetinder Kaur Chattha, M.D.

• Clinical Social Worker in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.