Individual provider Active NPI

Sara L Hurlburt, LCSW

  • Clinical Social Worker
  • Elizabethtown, NY
National Provider Identifier
1174077846
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089660-1 Issued in NY
Practice address
7513 Court Street
Elizabethtown, NY 12932-0008
Phone
(518) 873-3670
Fax
(518) 873-3777
NPI assigned
Aug 10, 2016
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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 092758-1 NY
Clinical Social Worker 1041C0700X 089660-1 NY Primary

Addresses

Primary practice location

7513 Court Street
Elizabethtown, NY 12932-0008

Mailing address

PO Box 8
Elizabethtown, NY 12932-0008
Phone (518) 873-3670

Other practice location 1

63 Roscoe Rd
Elizabethtown, NY 12932-2407
Phone (518) 420-5671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220609002714 NY Practitioner - Clinical Social Worker 7012395676 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
Group practices
Essex County TreasurerGroup PAC ID 1658392600, 16 clinicians

Practice addresses (Care Compare)

7513 Court St
Elizabethtown, NY 12932-0008
Phone (518) 873-3670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092758-1NYMDSocial Worker
089660-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County Treasurer CurrentSince May 2, 2022 Accepting new patients
Essex County Treasurer CurrentSince May 2, 2022 Accepting new patients
Essential Adirondack Therapy License Clinical Social Work, PLLC. CurrentSince Dec 6, 2022 Accepting new patients
Behavioral Health Services North, Inc. PastSince Apr 28, 2024 Accepting new patients
Behavioral Health Services North, Inc. PastSince Apr 19, 2020 Accepting new patients

Organizations & group practices 5

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1174077846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320008",
            "telephone_number": "518-873-3670",
            "fax_number": "518-873-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7513 COURT STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320008",
            "telephone_number": "518-873-3670",
            "fax_number": "518-873-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Roscoe Rd",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NY",
            "postal_code": "129322407",
            "country_code": "US",
            "telephone_number": "518-420-5671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLBURT",
        "first_name": "SARA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092758-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089660-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NY

Sources for this page

Verify at the official NPI Registry.