Sarah D Thibault, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62703 Issued in CA

Practice address

1600 Weeot Way
Arcata, CA 95521-4734

Phone

(707) 825-5060

Fax

(707) 825-6747

NPI assigned

Sep 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Karuk Tribe

  dba Karuk Tribal Health Program

  • General Practice Physician
  • Yreka, CA
  • NPI 1730279423

  Clinical

  Medicare reassignment NPD
• United Indian Health Services, Inc.

  • Primary Care Clinic/Center
  • Arcata, CA
  • NPI 1497751572

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Karuk Tribe

  dba Karuk Orleans Medical Clinic

  • Family Medicine Physician
  • Orleans, CA
  • NPI 1386726032

  Clinical

  NPD
• United Indian Health Services, Inc.

  • Community Health Clinic/Center
  • Arcata, CA
  • NPI 1699506121
  NPD
• United Indian Health Services, Inc.

  • Community Health Clinic/Center
  • Weitchpec, CA
  • NPI 1265438154
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1134452980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WEEOT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214734",
            "telephone_number": "707-825-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WEEOT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214734",
            "telephone_number": "707-825-5060",
            "fax_number": "707-825-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBAULT",
        "first_name": "SARAH",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "62703",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942507835",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720385032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Thomas Terrill, AU.D,
• Tess Keller Family Therapist Professional Corporation
• Irving M Tessler, M.D.
• Shelyna A Thawer-Rice, FNP-C
• Shawnee Thayer, AMFT
• Ashley Nichole Thomas
• Karen Elaine Thomas, R.N.
• Patti Dale Thomas, LCSW
• Elizabeth Marie Thompson, PH.D.
• Thrive Wellness Incorporated

• Clinical Social Worker in Arcata, CA
• Providers in Arcata, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.