Active NPI
Sarah Lilja, LICSW
- Clinical Social Worker
- Maplewood, MN
National Provider Identifier
1053455329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11334
- Practice address
- 2127 County Road D E Ste A100
Maplewood, MN 55109-5350 - Phone
- (651) 592-1592
- Fax
- (651) 429-2988
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11334 | MN | Primary |
Addresses
Primary practice location
2127 County Road D E Ste A100
Maplewood, MN 55109-5350
Mailing address
2127 County Road D E Ste A100
Maplewood, MN 55109-5350
Phone (651) 592-1592
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053455329 | Medicaid | MN | |
| 547G6LI | Other | MN | BLUE CROSS OF MINNESOTA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11334 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clayton D. Sankey Licsw, LLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Maplewood, MN
- NPI 1023097185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1053455329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 COUNTY ROAD D E STE A100",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095350",
"telephone_number": "651-592-1592",
"fax_number": "651-429-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 COUNTY ROAD D E STE A100",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095350",
"telephone_number": "651-592-1592",
"fax_number": "651-429-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILJA",
"first_name": "SARAH",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "11334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053455329",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MINNESOTA",
"identifier": "547G6LI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.