Sarah Elizabeth Wilburn, LCSW
Individual provider Active NPI Clinical Social Worker · Louisville, KY
NPI 1275932162 · NPPES record last updated Feb 6, 2021
Key facts
- NPI
- 1275932162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 252611 (KY)
- Practice address
- 4211 Poplar Level Rd Ste 103
Louisville, KY 40213-1527 - Phone
- (502) 694-0042
- NPI assigned
- Aug 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4211 Poplar Level Rd
Louisville, KY 40213-1527
Phone (502) 694-0042
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20170714001055 | KY | Practitioner - Clinical Social Worker | 1254600943 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252611 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Shore Counseling | Clinical | Current |
Accepting new patients |
| Seven Counties Services, Inc. | Clinical | Current |
Accepting new patients |
Locations
914 E Broadway
Louisville, KY 40204
Phone (502) 587-8833
4211 Poplar Level Rd
Ste 103
Louisville, KY 40213
Phone (502) 694-0042
914 E Broadway
Fl Second
Louisville, KY 40204
10401 Linn Station Rd
Ste 100
Louisville, KY 40223
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
10101 Linn Station Rd
Ste 600
Louisville, KY 40223
Phone (502) 858-9860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 252611 | KY | Yes |
Addresses
Primary practice location
4211 Poplar Level Rd Ste 103
Louisville, KY 40213-1527
Mailing address
4211 Poplar Level Rd Ste 103
Louisville, KY 40213-1527
Phone (502) 694-0042
Other practice location 1
914 E Broadway
Second Floor
Louisville, KY 40204-1037
Phone (502) 589-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100464080 | Medicaid | KY |
Other providers in Louisville, KY
- Charles Zachary Wilbert
- Fred Marsh Wilbur
- Victoria Elaine Wilbur
- Brent Manning Wilburn
- Jo E Wilburn
- Cherie Finley Wilcher
- Olivia Wildeman
- Riley Patrick Wildemann
- Wilder Physical Therapy, Inc.
- Michelle Wilder
All providers in Louisville, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.