Individual provider Active NPI

Sara Urwiller, LIMHP

  • Clinical Social Worker
  • Grand Island, NE
National Provider Identifier
1174067599
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2247 Issued in NE
Practice address
308 W 3Rd St Ste 1
Grand Island, NE 68801-5941
Phone
(308) 391-2280
NPI assigned
Dec 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7126 NE
Clinical Social Worker 1041C0700X 2247 NE Primary

Addresses

Primary practice location

308 W 3Rd St Ste 1
Grand Island, NE 68801-5941

Mailing address

308 W 3Rd St Ste 1
Grand Island, NE 68801-5941
Phone (308) 391-2280

Other practice location 1

124 W 25th St
Suite B4
Kearney, NE 68847-4406
Phone (308) 627-6119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20230802001806 NE Practitioner - Clinical Social Worker 2365803699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 N Wheeler Ave
Grand Island, NE 68801-5961
Phone (308) 391-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7126NEMDSocial Worker
2247NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Behavioral Health and Wellness LLC Clinical CurrentSince Jul 1, 2023 Accepting new patients

Locations

215 N Wheeler Ave
Grand Island, NE 68801
Phone (308) 391-2280

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1174067599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W 3RD ST STE 1",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015941",
            "telephone_number": "308-391-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W 3RD ST STE 1",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015941",
            "telephone_number": "308-391-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 W 25th St",
            "address_2": "Suite B4",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688474406",
            "country_code": "US",
            "telephone_number": "308-627-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URWILLER",
        "first_name": "SARA",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "7126",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.