Individual provider Active NPI

Sara Winters, LCSW, LCADC

  • Clinical Social Worker
  • Owensboro, KY
National Provider Identifier
1104213065
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255152 Issued in KY
Practice address
1000 E 18TH Street
Owensboro, KY 42303-3172
Phone
(270) 228-2991
Fax
(270) 826-8737
NPI assigned
Apr 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 337949 KY
Clinical Social Worker 1041C0700X 3478 KY
Clinical Social Worker 1041C0700X 255152 KY Primary

Addresses

Primary practice location

1000 E 18TH Street
Owensboro, KY 42303-3172

Mailing address

2122 W Surrey Dr
Owensboro, KY 42301-5842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20250811003342 KY Practitioner - Clinical Social Worker 5496120016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
337949KYMDAddiction (Substance Use Disorder) Counselor
255152KYMDClinical Social Worker
3478KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Wellness Center Addiction (Substance Use Disorder) CurrentSince Dec 13, 2022 Accepting new patients
Building Bridges Therapeutic Services LLC Clinical CurrentSince Feb 7, 2025 Accepting new patients

Locations

920 Frederica St
Ste 205
Owensboro, KY 42301
Phone (270) 244-0644

1000 E 18th St
Owensboro, KY 42303
Phone (270) 228-2991

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.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1104213065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 W SURREY DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 18TH STREET",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033172",
            "telephone_number": "270-228-2991",
            "fax_number": "270-826-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "337949",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3478",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.