Individual provider Active NPI

Sara Bursac, LCSW

  • Clinical Social Worker
  • Laramie, WY
National Provider Identifier
1215682968
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1360 Issued in WY
Practice address
515 S 12TH St
Laramie, WY 82070-4021
Phone
(573) 673-0062
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 1360 WY Primary

Addresses

Primary practice location

515 S 12TH St
Laramie, WY 82070-4021

Mailing address

515 S 12TH St
Laramie, WY 82070-4021
Phone (573) 673-0062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20250613001719 WY Practitioner - Clinical Social Worker 4284145640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
7220 Counseling Coalition LLCGroup PAC ID 0749637577, 4 clinicians

Practice addresses (Care Compare)

2900 E Grand Ave
Unit 13
Laramie, WY 82070-5268
Phone (785) 341-3212

2900 Grand Ave
Suite 13
Laramie, WY 82070-3602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
7220 Counseling Coalition, LLC Clinical CurrentSince Mar 28, 2025 Accepting new patients

Locations

2900 E Grand Ave
Unit 13
Laramie, WY 82070
Phone (316) 570-0532

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1215682968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 12TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704021",
            "telephone_number": "573-673-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 12TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704021",
            "telephone_number": "573-673-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSAC",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.