Active NPI
Frederick Root Sautter Jr., LCSW
- Clinical Social Worker
- Roseville, CA
National Provider Identifier
1083044960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW72308
- Practice address
- 1430 Blue Oaks Blvd Ste 120
Roseville, CA 95747-5156 - Phone
- (707) 481-7744
- Fax
- (877) 349-6094
- NPI assigned
- Nov 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9006-C | NV | |
| Clinical Social Worker | 1041C0700X | 7896-C | AR | |
| Clinical Social Worker | 1041C0700X | LCSW72308 | CA | Primary |
Addresses
Primary practice location
1430 Blue Oaks Blvd Ste 120
Roseville, CA 95747-5156
Mailing address
1070 Kirkland LN
Lincoln, CA 95648-7209
Phone (707) 481-7744
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rick@evolutionsintherapy.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1430 Blue Oaks Blvd
Suite 120
Roseville, CA 95747-5156
Phone (916) 755-6141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7896-C | AR | MD | Clinical Social Worker |
| LCSW72308 | CA | MD | Clinical Social Worker |
| 9006-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick R Sautter Licensed Clinical Social Worker Inc | Clinical | Current | Accepting new patients |
Locations
915 Highland Pointe Dr
Ste 250
Roseville, CA 95678
Phone (530) 713-4306
1430 Blue Oaks Blvd
Ste 120
Roseville, CA 95747
Phone (916) 579-3802
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Roseville, CA
- NPI 1548816267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1083044960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 KIRKLAND LN",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956487209",
"telephone_number": "707-481-7744",
"fax_number": "877-349-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 BLUE OAKS BLVD STE 120",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957475156",
"telephone_number": "707-481-7744",
"fax_number": "877-349-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUTTER",
"first_name": "FREDERICK",
"middle_name": "ROOT",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-14",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "9006-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "7896-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW72308",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rick@evolutionsintherapy.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "915 Highland Pointe Dr Ste 250",
"city": "Roseville",
"state": "CA",
"country_code": "US",
"postal_code": "956785421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
- 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.