Sarah Fahrenkrug Wicks, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5801 Issued in ND

Practice address

6046 14TH St S
Fargo, ND 58104-7340

Phone

(701) 404-0997

Fax

(701) 566-8876

NPI assigned

Sep 24, 2019

Last updated

Nov 10, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Winneshiek Medical Center

  dba WinnMed

  • Critical Access Hospital
  • Decorah, IA
  • NPI 1619922051
  Medicare reassignment NPD
• Winneshiek Medical Center

  dba WinnMed Decorah Clinic

  • Multi-Specialty Clinic/Center
  • Decorah, IA
  • NPI 1992854863
  Medicare reassignment NPD
• Winneshiek Medical Center

  dba WinnMed Pharmacy

  • Community/Retail Pharmacy
  • Decorah, IA
  • NPI 1104507060
  NPD

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1174174932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 14TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047340",
            "telephone_number": "701-404-0997",
            "fax_number": "701-566-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 14TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047340",
            "telephone_number": "701-404-0997",
            "fax_number": "701-566-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "SARAH",
        "middle_name": "FAHRENKRUG",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5801",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Wiche, DO
• Robin Ann Wichman, LRD
• Chad Wick
• Adrienne Shirlene Wickenheiser, DPT
• Lindsay Wickham, MS/CCC-SLP
• Megan Widmer
• Nicole Widmer
• Katyana Marie Wiedenman, MS
• Sara E Wiederholt, LCSW
• Jordan Ann Wiedmann, PA-C

• Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.