Individual provider Active NPI

Sarah Grace Stangebye, MS

  • Clinical Social Worker
  • Montrose, CO
National Provider Identifier
1053772111
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925404 Issued in CO
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

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ACD.0001030OtherCODORA
CSW.09925404OtherCODORA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423000279 CO Practitioner - Clinical Social Worker 6608391693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ACD.0001030COMDAddiction (Substance Use Disorder) Counselor
CSW.09925404COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Treatment Centers, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Advantage Treatment Centers Inc PastSince Jan 1, 2020 Accepting new patients
Advantage Treatment Centers Inc PastSince Jan 26, 2020 Accepting new patients
Advantage Treatment Centers Inc PastSince Jan 26, 2020 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.

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

Verify at the official NPI Registry.