Individual provider Active NPI

Sara Renae Cady, MSW, CSW, ACT

  • Social Worker
  • Valley Springs, SD
National Provider Identifier
1205547254
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6208 Issued in SD
Practice address
206 Riley Cir
Valley Springs, SD 57068-9323
Phone
(605) 201-3453
NPI assigned
Dec 12, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6208 SD Primary

Addresses

Primary practice location

206 Riley Cir
Valley Springs, SD 57068-9323

Mailing address

206 Riley Cir
Valley Springs, SD 57068-9323
Phone (605) 201-3453

Other names 1

  • Sara Renae Kroontje Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6208SDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling Services PastSince Nov 5, 2023 Accepting new patients
Jshay Enterprises LLC PastSince Jul 9, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1205547254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 RILEY CIR",
            "city": "VALLEY SPRINGS",
            "state": "SD",
            "postal_code": "570689323",
            "telephone_number": "605-201-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 RILEY CIR",
            "city": "VALLEY SPRINGS",
            "state": "SD",
            "postal_code": "570689323",
            "telephone_number": "605-201-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADY",
        "first_name": "SARA",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "MSW, CSW, ACT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "6208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KROONTJE",
            "middle_name": "RENAE",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valley Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.