Active NPI
Sarah Indomenico, BSW
- Counselor
- Springfield, MA
National Provider Identifier
1124562046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 130 Maple St
Springfield, MA 01103-2202 - Phone
- (413) 737-9544
- NPI assigned
- Dec 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
130 Maple St
Springfield, MA 01103-2202
Mailing address
212 Vineland Avenue
East Longmeadow, MA 01028
Phone (413) 351-5667
Other practice location 1
332 Birnie Ave
Springfield, MA 01107-1104
Phone (413) 733-6624
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124562046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 VINELAND AVENUE",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "01028",
"telephone_number": "413-351-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAPLE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032202",
"telephone_number": "413-737-9544"
}
],
"practiceLocations": [
{
"address_1": "332 Birnie Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011071104",
"country_code": "US",
"telephone_number": "413-733-6624",
"fax_number": "413-439-2109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INDOMENICO",
"first_name": "SARAH",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.