Active NPI
Sara K McClam, LISW AP CP
- Social Worker
- Sumter, SC
National Provider Identifier
1063459642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 001951
- Practice address
- 261 Broad Street
Sumter, SC 29150 - Phone
- (803) 775-3060
- Fax
- (803) 774-4280
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 001951 | SC | Primary |
Addresses
Primary practice location
261 Broad Street
Sumter, SC 29150
Mailing address
316 Running Fox Rd
Columbia, SC 29223
Phone (803) 960-3153
Other names 1
- Ms. Sara M Mickelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040224000277 | SC | Practitioner - Clinical Social Worker | 7517853922 | Practice locations: Sumter, SC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
261 Broad St
Sumter, SC 29150-4146
Phone (803) 775-3060
316 Running Fox Rd
Columbia, SC 29223-3060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001951 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Brain Center, PA | Past | Accepting new patients | |
| Dermatology and Skin Surgery Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Columbia, SC
- NPI 1629106430
-
- Dermatology Physician
- Sumter, SC
- NPI 1366075343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1063459642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 RUNNING FOX RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29223",
"telephone_number": "803-960-3153",
"fax_number": "803-905-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 BROAD STREET",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-775-3060",
"fax_number": "803-774-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAM",
"first_name": "SARA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LISW AP CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "001951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "MICKELSON",
"middle_name": "M",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.