Individual provider Active NPI

Sara McDowell, LISW

  • Social Worker
  • Scott AFB, IL
National Provider Identifier
1083047179
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
008308 Issued in IA
Practice address
310 West Losey Street
Attn: 375 Mdos/Sgow - Mental Health
Scott AFB, IL 62225-5420
Phone
(618) 256-7386
NPI assigned
Aug 13, 2013
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 008308 IA Primary

Addresses

Primary practice location

310 West Losey Street
Attn: 375 Mdos/Sgow - Mental Health
Scott AFB, IL 62225-5420

Mailing address

310 W Losey St
Attn: 375 Mdos/Sgow - Mental Health
Scott AFB, IL 62225-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008308IAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1083047179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W LOSEY ST",
            "address_2": "ATTN: 375 MDOS/SGOW - MENTAL HEALTH",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WEST LOSEY STREET",
            "address_2": "ATTN: 375 MDOS/SGOW - MENTAL HEALTH",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255420",
            "telephone_number": "618-256-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "SARA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "008308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott AFB, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.