Individual provider Active NPI

Sarah Louise Yeo Redgrave, LCSW

  • Clinical Social Worker
  • Truckee, CA
National Provider Identifier
1225261548
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81957 Issued in CA
Practice address
10956 Donner Pass Rd FL 2
Truckee, CA 96161-4861
Phone
(530) 582-3505
NPI assigned
Sep 3, 2009
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 32712 CA
Mental Health Counselor 101YM0800X 32712 CA
Social Worker 104100000X 32712 CA
Clinical Social Worker 1041C0700X 81957 CA Primary

Addresses

Primary practice location

10956 Donner Pass Rd FL 2
Truckee, CA 96161-4861

Mailing address

10956 Donner Pass Rd FL 2
Truckee, CA 96161-4861
Phone (530) 582-3505

Other names 1

  • Sarah Louise Yeo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230125002207 CA Practitioner - Clinical Social Worker 5092186221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, 140 clinicians

Practice addresses (Care Compare)

10833 Donner Pass Rd
Suite 201
Truckee, CA 96161-4851
Phone (530) 582-3505

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32712CAMDPharmacist
81957CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Forest Hospital District CurrentSince Dec 1, 2022 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients
Tahoe Forest Hospital District CurrentSince Dec 1, 2022 Accepting new patients

Locations

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10833 Donner Pass Rd
Ste 201
Truckee, CA 96161
Phone (530) 582-3505

10956 Donner Pass Rd
Fl 2
Truckee, CA 96161
Phone (530) 550-6716

Organizations & group practices 3

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1225261548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD FL 2",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD FL 2",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDGRAVE",
        "first_name": "SARAH",
        "middle_name": "LOUISE YEO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "32712",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "32712",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "32712",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "YEO",
            "middle_name": "LOUISE",
            "credential": "ASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.