Individual provider Active NPI

Sarah Hamlin, LICSW

  • Clinical Social Worker
  • Elk River, MN
National Provider Identifier
1033873047
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25273 Issued in MN
Practice address
400 Jackson Ave NW Ste 101
Elk River, MN 55330-1363
Phone
(763) 595-1420
Fax
(763) 595-1421
NPI assigned
Oct 26, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25273 MN Primary

Addresses

Primary practice location

400 Jackson Ave NW Ste 101
Elk River, MN 55330-1363

Mailing address

400 Jackson Ave NW Ste 101
Elk River, MN 55330-1363
Phone (763) 595-1420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220121001490 MN Practitioner - Clinical Social Worker 1759773807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regroup Counseling and Consulting PSCGroup PAC ID 0648689042, 5 clinicians

Practice addresses (Care Compare)

18336 Joplin St NW
Elk River, MN 55330-1773
Phone (763) 350-9687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25273MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regroup Counseling and Consulting PSC CurrentSince Sep 5, 2023 Accepting new patients

Locations

18336 Joplin St NW
Elk River, MN 55330
Phone (763) 350-9687

586 Dodge Ave NW
Ste B
Elk River, MN 55330
Phone (763) 350-9687

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1033873047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JACKSON AVE NW STE 101",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301363",
            "telephone_number": "763-595-1420",
            "fax_number": "763-595-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JACKSON AVE NW STE 101",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301363",
            "telephone_number": "763-595-1420",
            "fax_number": "763-595-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "SARAH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.