Individual provider Active NPI

Sarah Roberts, LCSW, LISW-CP-S

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1164866349
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
811425 Issued in CO
Practice address
7075 Campus Dr Ste 202
Colorado Springs, CO 80920-6524
Phone
(719) 888-6827
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10589 SC
Clinical Social Worker 1041C0700X C008224 NC
Clinical Social Worker 1041C0700X 811425 CO Primary

Addresses

Primary practice location

7075 Campus Dr Ste 202
Colorado Springs, CO 80920-6524

Mailing address

7075 Campus Dr Ste 202
Colorado Springs, CO 80920-6524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160725000720 SC Practitioner - Clinical Social Worker 9830482116 Reassigns benefits to 1 organization
I20240419001548 CO Practitioner - Clinical Social Worker 9830482116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Polaris Wellness Group PLLCGroup PAC ID 7113366428, 2 clinicians

Practice addresses (Care Compare)

7075 Campus Dr
Suite 202
Colorado Springs, CO 80920-6524
Phone (719) 888-6827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
811425COMDClinical Social Worker
C008224NCMDClinical Social Worker
10589SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Wellness Group, PLLC CurrentSince Feb 22, 2024 Accepting new patients
Charleston Counseling Center PC Clinical CurrentSince May 18, 2016 Accepting new patients
Myrtle Beach Counseling Center CurrentSince Aug 6, 2019 Accepting new patients

Locations

7075 Campus Dr
Ste 202
Colorado Springs, CO 80920
Phone (719) 888-6827

1060 Cliffwood Dr
Ste B
Mt Pleasant, SC 29464
Phone 8435011099702

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Organizations & group practices 3

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1164866349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 CAMPUS DR STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 CAMPUS DR STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206524",
            "telephone_number": "719-888-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SARAH",
        "credential": "LCSW, LISW-CP-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10589",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008224",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "811425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.