Individual provider Active NPI

Sarah Thacher, LCSW, LADC

  • Clinical Social Worker
  • Brunswick, ME
National Provider Identifier
1356477384
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC1970 Issued in ME
Practice address
10 Cumberland St
Brunswick, ME 04011-1932
Phone
(207) 729-1313
Fax
(207) 798-3929
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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 LC1970 ME Primary

Addresses

Primary practice location

10 Cumberland St
Brunswick, ME 04011-1932

Mailing address

2 Hagar St
Richmond, ME 04357-1458
Phone (207) 729-1313

Other identifiers 1

IdentifierTypeStateIssuer
047363OtherMEANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20041228000141 ME Practitioner - Clinical Social Worker 9234197062 Practice locations: Richmond, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1970MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser Past Accepting new patients
Protea Behavioral Health Services Past Accepting new patients

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1356477384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAGAR ST",
            "city": "RICHMOND",
            "state": "ME",
            "postal_code": "043571458",
            "telephone_number": "207-729-1313",
            "fax_number": "207-798-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CUMBERLAND ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111932",
            "telephone_number": "207-729-1313",
            "fax_number": "207-798-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACHER",
        "first_name": "SARAH",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC1970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "047363",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.