Sara Ann Carter-Jameson, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2013045632 Issued in MO

Practice address

103 Lincoln St
O Fallon, MO 63366-1603

Phone

(636) 443-3704

NPI assigned

Oct 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sara Ann Clubb Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

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.

• Life Well Balanced LLC

  • Clinical Social Worker
  • O Fallon, MO
  • NPI 1265939672
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1073063343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LINCOLN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661603",
            "telephone_number": "636-443-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LINCOLN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661603",
            "telephone_number": "636-443-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-JAMESON",
        "first_name": "SARA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013045632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CLUBB",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "L.C.S.W",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vivian Carr, LPC
• Amanda Marie Carriker, M.A., L.P.C
• Baylie Jane Carroll, DDS
• Jennifer Carroll, BA
• Megan Marie Carroll
• Krista N. Carter, PA-C
• Jamie Lynn Cassani, APRN, FNP-C
• Kent Alexander Neil Cassmeyer, MD
• Lorenzo G Catapang, DPT
• Tanya Leigh Cato

• Clinical Social Worker in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.

Verify at the official NPI Registry.