Individual provider Active NPI

Sarah E Lamie, L.S.W, MSW

  • Clinical Social Worker
  • Bourbonnais, IL
National Provider Identifier
1306023320
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150011356 Issued in IL
Practice address
375 Barrington Dr
Bourbonnais, IL 60914-1677
Phone
(815) 278-6350
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.011365 IL
Clinical Social Worker 1041C0700X 150011356 IL Primary

Addresses

Primary practice location

375 Barrington Dr
Bourbonnais, IL 60914-1677

Mailing address

375 Barrington Dr
Bourbonnais, IL 60914-1677
Phone (815) 278-6350

Other practice location 1

2081 Calistoga Dr Ste 3N
New Lenox, IL 60451-4834
Phone (815) 277-9906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • 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
I20221221003259 IL Practitioner - Clinical Social Worker 1951771625 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.011365ILMDSocial Worker
150011356ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Moon Senior Counseling of Illinois LLC Clinical CurrentSince Nov 13, 2023 Accepting new patients
Midwest Post Acute Care PLLC Clinical CurrentSince Oct 10, 2022 Accepting new patients
Neuro Assessment Services PLLC CurrentSince Dec 1, 2023 Accepting new patients
BZ Kids Incorporated Past Accepting new patients

Locations

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

2081 Calistoga Dr
Ste 3N
New Lenox, IL 60451
Phone (815) 277-9906

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1306023320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BARRINGTON DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141677",
            "telephone_number": "815-278-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BARRINGTON DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141677",
            "telephone_number": "815-278-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2081 Calistoga Dr Ste 3N",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604514834",
            "country_code": "US",
            "telephone_number": "815-277-9906",
            "fax_number": "815-277-9907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMIE",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "L.S.W, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.011365",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150011356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.