Individual provider Active NPI

Sarah E. Starbird, LCSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1215151691
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006383 Issued in CT
Practice address
1078 W Main St
Waterbury, CT 06708-2651
Phone
(203) 445-6445
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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 006383 CT Primary

Addresses

Primary practice location

1078 W Main St
Waterbury, CT 06708-2651

Mailing address

34 Lynwood Dr
Wolcott, CT 06716-2808
Phone (203) 445-6445

Other names 1

  • Ms. Sarah E. Bourassa Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20070616000030 CT Practitioner - Clinical Social Worker 2668571621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

51 N Main St
Suite 2C
Southington, CT 06489-2515
Phone (203) 445-6445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006383CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. Past Accepting new patients
Waterbury Hospital Past Accepting new patients
Intercommunity, Inc. Past Accepting new patients
Bristol Hospital Multi-Specialty Group, Inc. Clinical Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1215151691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LYNWOOD DR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162808",
            "telephone_number": "203-445-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082651",
            "telephone_number": "203-445-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARBIRD",
        "first_name": "SARAH",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BOURASSA",
            "middle_name": "E.",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.