Individual provider Active NPI

Sara Brewer, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1104343672
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254943 Issued in KY
Practice address
225 W Breckinridge St
Louisville, KY 40203-2219
Phone
(502) 794-2555
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 252758 KY
Clinical Social Worker 1041C0700X 254943 KY Primary

Addresses

Primary practice location

225 W Breckinridge St
Louisville, KY 40203-2219

Mailing address

225 W Breckinridge St
Louisville, KY 40203-2219
Phone (502) 794-2555

Other practice location 1

927 S 3rd St
Louisville, KY 40203-2215
Phone (502) 753-1463

Other identifiers 1

IdentifierTypeStateIssuer
1598793671MedicaidKY

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
I20210114002660 KY Practitioner - Clinical Social Worker 6800209628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5270 Elmburg Rd
Bagdad, KY 40003-8000
Phone (502) 265-6243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252758KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sara J. Brewer Counseling Clinical CurrentSince Feb 10, 2023 Accepting new patients

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": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104343672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W BRECKINRIDGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032219",
            "telephone_number": "502-794-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W BRECKINRIDGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032219",
            "telephone_number": "502-794-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032215",
            "country_code": "US",
            "telephone_number": "502-753-1463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252758",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598793671",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.