Sara C Mackus, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

311 W White St
Champaign, IL 61820-4805

Phone

(217) 359-5276

NPI assigned

Nov 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1356627608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S MATTIS AVE",
            "address_2": "APT. V",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213639",
            "telephone_number": "217-359-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W WHITE ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204805",
            "telephone_number": "217-359-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKUS",
        "first_name": "SARA",
        "middle_name": "C",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Jo Lyons, RD
• Ashley Brooke Macdonald, H.I.S.
• Ciara Eileen Macenas
• Robert Francis Macfarlane III, ATC
• Cameron Robert Mackichan, D.C.
• Christine Madden
• Katherine R. Madigan, M.S. CCC-SLP
• Joseph Albert Madura, D.D.S.
• Rebekah Hadassah Magee
• Nirmayee Mahadeokar

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.