Sarah J Falk, LCSW
Individual provider Active NPI Clinical Social Worker · Manteno, IL
NPI 1104060011 · NPPES record last updated Apr 22, 2009
Key facts
- NPI
- 1104060011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.013416 (IL)
- Practice address
- 121 Main Street
Rear
Manteno, IL 60950 - Phone
- (815) 351-4245
- NPI assigned
- Apr 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
232 Main St NW
Suite 103
Bourbonnais, IL 60914-1936
Phone (815) 200-8518
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250806004275 | IL | Practitioner - Clinical Social Worker | 6002314390 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.013406 | IL | MD | Clinical Social Worker |
| 149.013416 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Falk Counseling Inc | Current |
Accepting new patients |
Locations
232 Main St NW
Ste 103
Bourbonnais, IL 60914
Phone (815) 200-8518
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.013416 | IL | Yes |
Addresses
Primary practice location
121 Main Street
Rear
Manteno, IL 60950
Mailing address
302 Jay Ray Dr Apt 6
Manteno, IL 60950-1097
Other providers in Manteno, IL
- Douglas & Ogden Medical Center Pharmacy Inc
- Dsi Manteno Operator LLC
- Hanne Duke
- Jill Dziekan
- Existential Counselor Societ LTD.
- Family Guidance Centers, Inc.
- Family Guidance Centers, Inc.
- Family Guidance Centers, Inc.
- Patricia Anne Fenner
- Brian Finkelstein
All providers in Manteno, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.