Sarah Smith

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150101300 Issued in IL

Practice address

3543 N Pulaski Rd
Chicago, IL 60641-3945

Phone

(312) 504-7567

Fax

(312) 448-8574

NPI assigned

Oct 22, 2015

Last updated

Apr 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Willow Center for Integrative Health PLLC

  dba The Willow Center for Integrative Health

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1134733868
  NPD Authorized official
• Center for Contextual Change

  • Clinical Social Worker
  • Skokie, IL
  • NPI 1659382521
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1194197749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413945",
            "telephone_number": "312-504-7567",
            "fax_number": "312-448-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413945",
            "telephone_number": "312-504-7567",
            "fax_number": "312-448-8574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9239 Gross Point Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771389",
            "country_code": "US",
            "telephone_number": "847-676-4447",
            "fax_number": "847-676-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150101300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194197749",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.willowcenterchicago.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "3543 N Pulaski Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606413945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sabrina Shea Smith
• Samantha F Smith, DPT
• Samantha Rae Smith
• Sara Smith, RN
• Sara Boblick Smith, MD
• Sarah Smith
• Sean B Smith, MD
• Sean Robert Smith
• Shania Smith
• Sharyl Smith

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.