Individual provider Active NPI

Sara Lane Williamson, MSW, LCSW

  • Clinical Social Worker
  • Navarre, FL
National Provider Identifier
1235518598
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017209 Issued in IL
Practice address
7381 Navarre Pkwy Unit 1113
Navarre, FL 32566-7489
Phone
(217) 621-3037
NPI assigned
May 20, 2015
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149017209 IL
Clinical Social Worker 1041C0700X 149.017209 IL Primary

Addresses

Primary practice location

7381 Navarre Pkwy Unit 1113
Navarre, FL 32566-7489

Mailing address

7381 Navarre Pkwy Unit 1113
Navarre, FL 32566-7489
Phone (217) 621-3037

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Navarre Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170217000034 IL Practitioner - Clinical Social Worker 4284917246 Reassigns benefits to 1 organization
I20240213000847 FL Practitioner - Clinical Social Worker 4284917246 Reassigns benefits to 2 organizations

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
Bay Area Psychological ConsultantsGroup PAC ID 3779675756, 7 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

1417 Partin Dr N
Suite 1
Niceville, FL 32578-1426
Phone (850) 729-0303

605 N Michigan Ave
FL 4
Chicago, IL 60611-3141
Phone (773) 232-5338

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017209ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Dec 27, 2023 Accepting new patients
Michael McManus Associates PA CurrentSince Feb 1, 2024 Accepting new patients
Bay Area Psychological Consultants CurrentSince Feb 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1417 Partin Dr N
Ste 1
Niceville, FL 32578
Phone (850) 729-0303

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

Organizations & group practices 4

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1235518598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 NAVARRE PKWY UNIT 1113",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667489",
            "telephone_number": "217-621-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 NAVARRE PKWY UNIT 1113",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667489",
            "telephone_number": "217-621-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "SARA",
        "middle_name": "LANE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017209",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Navarre",
            "affiliation": "N",
            "endpointDescription": "Therapy notes llc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7381 Navarre Pkwy Unit 1113",
            "city": "Navarre",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325667489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.