Individual provider Active NPI

Sarah Holtschlag, LSW

  • Social Worker
  • Eugene, OR
National Provider Identifier
1326521196
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.013868 Issued in IL
Practice address
1200 Hilyard St Ste 570
Eugene, OR 97401-8168
Phone
(458) 205-7096
Fax
(458) 205-7089
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.013868 IL Primary

Addresses

Primary practice location

1200 Hilyard St Ste 570
Eugene, OR 97401-8168

Mailing address

365 E 33Rd Ave
Eugene, OR 97405-3824
Phone (773) 820-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210929001160 OR Practitioner - Clinical Social Worker 8224435573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

770 E 11 Ave
Eugene, OR 97401-3746
Phone (458) 205-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.013868ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group Social Worker CurrentSince Jun 18, 2021 Accepting new patients
Peacehealth Medical Group CurrentSince Jun 18, 2021 Accepting new patients

Locations

1200 Hilyard St
Ste S570
Eugene, OR 97401
Phone (458) 205-7070

770 E 11th Ave
Eugene, OR 97401
Phone (458) 205-7000

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1326521196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E 33RD AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053824",
            "telephone_number": "773-820-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST STE 570",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018168",
            "telephone_number": "458-205-7096",
            "fax_number": "458-205-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTSCHLAG",
        "first_name": "SARAH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.013868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.