Individual provider Active NPI

Sabrina Sartori Rocha Chouinard, MSW, LISW

  • Clinical Social Worker
  • Clive, IA
National Provider Identifier
1194407346
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107677 Issued in IA
Practice address
12951 University Ave Ste 200E
Clive, IA 50325-8297
Phone
(515) 758-8747
Fax
(515) 758-8747
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107677 IA Primary

Addresses

Primary practice location

12951 University Ave Ste 200E
Clive, IA 50325-8297

Mailing address

12951 University Ave Ste 200E
Clive, IA 50325-8297
Phone (515) 758-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 5, 2024 through Feb 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107677IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Enlighten Me Counseling LLC Clinical CurrentSince Aug 13, 2023 Accepting new patients

Locations

12951 University Ave
Ste 200E
Clive, IA 50325
Phone (515) 758-8747

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1194407346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 UNIVERSITY AVE STE 200E",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258297",
            "telephone_number": "515-758-8747",
            "fax_number": "515-758-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12951 UNIVERSITY AVE STE 200E",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258297",
            "telephone_number": "515-758-8747",
            "fax_number": "515-758-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTORI ROCHA CHOUINARD",
        "first_name": "SABRINA",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "107677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.