Individual provider Active NPI

Sarah Bogdan, APSW

  • Clinical Social Worker
  • Eau Claire, WI
National Provider Identifier
1063281806
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12167-123 Issued in WI
Practice address
2620 Stein Blvd
Eau Claire, WI 54701-2672
Phone
(715) 836-0064
Fax
(715) 836-0065
NPI assigned
Dec 21, 2023
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 132599-121 WI
Clinical Social Worker 1041C0700X 132599-121 WI
Clinical Social Worker 1041C0700X 12167-123 WI Primary

Addresses

Primary practice location

2620 Stein Blvd
Eau Claire, WI 54701-2672

Mailing address

2620 Stein Blvd
Eau Claire, WI 54701-2672
Phone (715) 836-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250324002625 WI Practitioner - Clinical Social Worker 5698297273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132599-121WIMDSocial Worker
12167-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caillier Clinic LTD Clinical CurrentSince Feb 20, 2025 Accepting new patients

Locations

475 Chippewa Mall Dr
Ste 315
Chippewa Falls, WI 54729

2620 Stein Blvd
Eau Claire, WI 54701
Phone (715) 831-0100

2620 Stein Blvd
Ste B
Eau Claire, WI 54701
Phone (715) 458-2575

1200 Hosford St
Ste 101
Hudson, WI 54016

700 Wolske Bay Rd
Ste 100
Menomonie, WI 54751

312 W Knapp St
Ste B
Rice Lake, WI 54868

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": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1063281806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012672",
            "telephone_number": "715-836-0064",
            "fax_number": "715-836-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012672",
            "telephone_number": "715-836-0064",
            "fax_number": "715-836-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDAN",
        "first_name": "SARAH",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "132599-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "132599-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12167-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.