Sara N Scruggs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021155 Issued in IL

Practice address

28 E Marion St Ste 5
Princeton, IL 61356-2098

Phone

(815) 875-2192

NPI assigned

May 16, 2019

Sex

Female

Sole proprietor

No

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.

• New Directions Counseling Center

  • Clinical Social Worker
  • Princeton, IL
  • NPI 1831729466
  NPD Clinical
• Arukah Institute of Healing Inc NFP

  • Clinical Social Worker
  • Princeton, IL
  • NPI 1851853097
  NPD (past) Clinical
• New Directions Counseling Center

  • Community/Behavioral Health Agency
  • Princeton, IL
  • NPI 1770815136
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2020.

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1104482934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W CENTRAL AVE",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561510",
            "telephone_number": "630-476-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E MARION ST STE 5",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562098",
            "telephone_number": "815-875-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "SARA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Schaffer-Vandenborre
• Patricia Elizabeth Schofield, L.C.S.W.
• Michelle Leigh Schramm, PHARMD
• Emily Schultz
• Lori A. Schultz, D.C.
• Setco Inc
• Bruce Waldo Shriver, DDS
• Kimberly Anne Shuler, R.D.
• Joseph D. Siegel, LCSW
• Agnes M Smith, ST

• All providers in Princeton, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.