Individual provider Active NPI

Sarah Godwin, LCSW

  • Clinical Social Worker
  • Newburgh, IN
National Provider Identifier
1265615991
Registry record updated Jun 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008398A Issued in IN
Practice address
8199 Robin Hill Rd Ste C
Newburgh, IN 47630-3086
Phone
(812) 215-5584
Fax
(812) 215-5884
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 34008398A IN Primary

Addresses

Primary practice location

8199 Robin Hill Rd Ste C
Newburgh, IN 47630-3086

Mailing address

8199 Robin Hill Rd Ste C
Newburgh, IN 47630-3086
Phone (812) 215-5584

Other practice location 1

2100 N Main St # 304
Crown Point, IN 46307-1877
Phone (574) 546-1900

Other practice location 2

4466 State Route 261 Ste 1
Newburgh, IN 47630-2832
Phone (812) 202-3982

Other identifiers 1

IdentifierTypeStateIssuer
200875920MedicaidIN

Other names 1

  • Sarah Weitkamp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220503001338 IN Practitioner - Clinical Social Worker 2466849880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Bloom Counseling LLCGroup PAC ID 2567812167, 5 clinicians

Practice addresses (Care Compare)

8199 Robin Hill Rd
Suite C
Newburgh, IN 47630-3296
Phone (812) 215-5584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008398AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Full Bloom Counseling LLC Clinical CurrentSince May 4, 2023 Accepting new patients
Southwestern Ind Reg Council on Aging Past Accepting new patients

Locations

8199 Robin Hill Rd
Ste C
Newburgh, IN 47630
Phone (812) 215-5584

Organizations & group practices 2

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": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1265615991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8199 ROBIN HILL RD STE C",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303086",
            "telephone_number": "812-215-5584",
            "fax_number": "812-215-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 ROBIN HILL RD STE C",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303086",
            "telephone_number": "812-215-5584",
            "fax_number": "812-215-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Main St # 304",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071877",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4466 State Route 261 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476302832",
            "country_code": "US",
            "telephone_number": "812-202-3982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008398A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200875920",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WEITKAMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.