Active NPI
Sarah Reznechek
- School Social Worker
- Santa Rosa Beach, FL
National Provider Identifier
1053043851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 431712
- Practice address
- 215 Wayne TRL
Santa Rosa Beach, FL 32459-5041 - Phone
- (320) 248-0213
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 17400 | MN | |
| School Social Worker | 1041S0200X | 431712 | MN | Primary |
Addresses
Primary practice location
215 Wayne TRL
Santa Rosa Beach, FL 32459-5041
Mailing address
PO Box 1211
Santa Rosa Beach, FL 32459-1211
Phone (320) 248-0213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 431712 | MN | MD | School Social Worker |
| 17400 | MN | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1053043851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1211",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324591211",
"telephone_number": "320-248-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WAYNE TRL",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324595041",
"telephone_number": "320-248-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZNECHEK",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MN",
"license": "17400",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MN",
"license": "431712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.