Individual provider Active NPI

Sarah Kristen Schroeder, MSW

  • Social Worker
  • Detroit Lakes, MN
National Provider Identifier
1144503061
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19687 Issued in MN
Practice address
211 Holmes St W
Suite 302
Detroit Lakes, MN 56501-3023
Phone
(218) 847-0629
Fax
(218) 846-1285
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19687 MN Primary

Addresses

Primary practice location

211 Holmes St W
Suite 302
Detroit Lakes, MN 56501-3023

Mailing address

211 Holmes St W
Suite 302
Detroit Lakes, MN 56501-3023
Phone (218) 847-0629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120912000025 MN Practitioner - Clinical Social Worker 6608024922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Social Service of MinnesotaGroup PAC ID 1951202019, 13 clinicians

Practice addresses (Care Compare)

211 Holmes St W
Suite 302
Detroit Lakes, MN 56501-9905
Phone (888) 881-8261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19687MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Service of Minnesota CurrentSince May 26, 2012 Accepting new patients

Locations

716 E St NE
Brainerd, MN 56401
Phone (218) 828-7379

211 Holmes St W
Ste 302
Detroit Lakes, MN 56501
Phone (218) 847-0629

2485 Como Ave
Saint Paul, MN 55108
Phone (800) 582-5260

Organizations & group practices 1

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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1144503061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HOLMES ST W",
            "address_2": "SUITE 302",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013023",
            "telephone_number": "218-847-0629",
            "fax_number": "218-846-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HOLMES ST W",
            "address_2": "SUITE 302",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013023",
            "telephone_number": "218-847-0629",
            "fax_number": "218-846-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "SARAH",
        "middle_name": "KRISTEN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "19687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

Verify at the official NPI Registry.