Sara Nichole Barrientos, LCSW
Individual provider Active NPI Clinical Social Worker · Rushville, IL
NPI 1215693254 · NPPES record last updated Nov 15, 2021
Key facts
- NPI
- 1215693254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149018318 (IL)
- Practice address
- 12101 Pokeberry Rd
Rushville, IL 62681-4778 - Phone
- (217) 248-3077
- NPI assigned
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231017003899 | IL | Practitioner - Clinical Social Worker | 5890140487 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149018318 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuyler County Hospital District | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Schuyler County Hospital District | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149018318 | IL | Yes |
Addresses
Primary practice location
12101 Pokeberry Rd
Rushville, IL 62681-4778
Mailing address
12101 Pokeberry Rd
Rushville, IL 62681-4778
Phone (217) 248-3077
Other providers in Rushville, IL
- Rachel Caitlen Allen
- Brenna Elizabeth Anderson
- Jeremy Barnett
- Rick A Bartlett
- Elizabeth Lea Birdsley
- Rhonda Briney
- Wendy K Cameron
- Caputo Counseling, PLLC
All providers in Rushville, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.