Active NPI
Sarah Grace Stangebye, MS
- Clinical Social Worker
- Montrose, CO
National Provider Identifier
1053772111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09925404
- Practice address
- 95 Merchant Dr Ste B-1
Montrose, CO 81401-3025 - Phone
- (970) 964-2783
- Fax
- (970) 964-2778
- NPI assigned
- Mar 16, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001030 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09925404 | CO | Primary |
Addresses
Primary practice location
95 Merchant Dr Ste B-1
Montrose, CO 81401-3025
Mailing address
1230 N Grand Ave
Montrose, CO 81401-3146
Phone (970) 964-2783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ACD.0001030 | Other | CO | DORA |
| CSW.09925404 | Other | CO | DORA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0001030 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| CSW.09925404 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Treatment Centers, Inc. | Current | Accepting new patients | |
| Advantage Treatment Centers Inc | Past | Accepting new patients | |
| Advantage Treatment Centers Inc | Past | Accepting new patients | |
| Advantage Treatment Centers Inc | Past | Accepting new patients |
Locations
2017 Lava Ln
Alamosa, CO 81101
Phone (719) 589-7500
800 E Maple St
Lamar, CO 81052
Phone (970) 466-5100
95 Merchant Dr
Ste B-1
Montrose, CO 81401
Phone (970) 964-2783
1230 N Grand Ave
Montrose, CO 81401
Phone (970) 466-5100
Organizations & group practices 4
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Montrose, CO
- NPI 1144850272
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Sterling, CO
- NPI 1114557915
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lamar, CO
- NPI 1295365336
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Alamosa, CO
- NPI 1841820644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1053772111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 N GRAND AVE",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814013146",
"telephone_number": "970-964-2783",
"fax_number": "970-964-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MERCHANT DR STE B-1",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814013025",
"telephone_number": "970-964-2783",
"fax_number": "970-964-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGEBYE",
"first_name": "SARAH",
"middle_name": "GRACE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0001030",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09925404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORA",
"identifier": "ACD.0001030",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORA",
"identifier": "CSW.09925404",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.