Sara Vasilev, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020049 Issued in IL

Practice address

1713 W Robbie LN
Mount Prospect, IL 60056-2845

Phone

(906) 362-0671

NPI assigned

Sep 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sara Ombrello Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dignified Aging Support PLLC

  • Clinical Social Worker
  • Mount Prospect, IL
  • NPI 1609704907

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1134597859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W ROBBIE LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562845",
            "telephone_number": "906-362-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W ROBBIE LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562845",
            "telephone_number": "906-362-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILEV",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098372",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "OMBRELLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Van Driels Medical Support Wear Co
• James Edward Vanderbosch Jr., PSY.D.
• Lindy Vandersteeg, B.A., M.A., LPC
• Rockie Vanga, APN
• Jaison Varghese, PHARM.D
• Vel Dental PC
• Lois P. Veneskey, RPH
• Frances Ompico Verzosa, MS
• Vig Dental Inc
• Kapil Vij, DDS

• All providers in Mount Prospect, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.