Active NPI
Sara Cothern, LCSW
- Clinical Social Worker
- Decatur, IL
National Provider Identifier
1205527058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 151 N Main St
Decatur, IL 62523-1206 - Phone
- (217) 362-6262
- Fax
- (217) 362-6290
- NPI assigned
- May 15, 2023
- Last updated
- Oct 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-22337 | AZ | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
151 N Main St
Decatur, IL 62523-1206
Mailing address
151 N Main St
Decatur, IL 62523-1206
Phone (217) 362-6262
Other practice location 1
5151 E Pima St
Tucson, AZ 85712-3627
Phone (520) 436-7860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-22337 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Behavioral Health Center, Inc. | Current | Accepting new patients | |
| Heritage Behavioral Health Center Inc. | Single Specialty | Current | Accepting new patients |
Locations
151 N Main St
Decatur, IL 62523
Phone (217) 420-4776
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Decatur, IL
- NPI 1639231731
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Decatur, IL
- NPI 1295575330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1205527058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 N MAIN ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625231206",
"telephone_number": "217-362-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N MAIN ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625231206",
"telephone_number": "217-362-6262",
"fax_number": "217-362-6290"
}
],
"practiceLocations": [
{
"address_1": "5151 E Pima St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857123627",
"country_code": "US",
"telephone_number": "520-436-7860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTHERN",
"first_name": "SARA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-22337",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
- Natalie A Corley, DMD
- Alicia Elaine Corman, MED., OTR/L
- Shannon Michael Cornthwaite, LPC
- Andrew Corzine, PHARMD
- Dennis D Costerisan, D.O.
- County of Macon (Macon County Health Department)
- Mary Coventry, N.P.
- Alexis Covington
- Deborah Ann Cox Schwalbe, MA LCPC
- Cpo Services, Inc (Comprehensive Prosthetics and Orthotics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.