Individual provider Active NPI

Sara Innab, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1306499611
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128188 Issued in WI
Practice address
5757 W Oklahoma Ave Ste 200
Milwaukee, WI 53219-4303
Phone
(414) 431-6400
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 128188 WI Primary

Addresses

Primary practice location

5757 W Oklahoma Ave Ste 200
Milwaukee, WI 53219-4303

Mailing address

5757 W Oklahoma Ave Ste 200
Milwaukee, WI 53219-4303
Phone (414) 431-6400

Other identifiers 1

IdentifierTypeStateIssuer
128188OtherWIWI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

Other names 1

  • Sara Asad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128188WIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1306499611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W OKLAHOMA AVE STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194303",
            "telephone_number": "414-431-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W OKLAHOMA AVE STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194303",
            "telephone_number": "414-431-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNAB",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "128188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "128188",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "ASAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.