Individual provider Active NPI

Sarah Andes, LCSW

  • Clinical Social Worker
  • Bismarck, ND
National Provider Identifier
1366007288
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5365 Issued in ND
Practice address
1616 Capitol Way Ste B
Bismarck, ND 58501-2100
Phone
(701) 751-1145
Fax
(701) 751-1383
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 5365 ND Primary

Addresses

Primary practice location

1616 Capitol Way Ste B
Bismarck, ND 58501-2100

Mailing address

1616 Capitol Way Ste B
Bismarck, ND 58501-2100
Phone (701) 751-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20190828002242 ND Practitioner - Other (Non-Physician) 1052649076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1616 Capital Way
Suite B
Bismarck, ND 58501-2100
Phone (701) 751-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Jul 2, 2019 Accepting new patients
St. Alexius Medical Center CurrentSince Jul 2, 2019 Accepting new patients
Mundahl & Andes PLLC Clinical CurrentSince Sep 30, 2021 Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

310 N 10th St
Bismarck, ND 58501
Phone (701) 530-7500

1616 E Capitol Way
Ste B
Bismarck, ND 58501
Phone (307) 277-3619

Organizations & group practices 3

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1366007288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CAPITOL WAY STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012100",
            "telephone_number": "701-751-1145",
            "fax_number": "701-751-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CAPITOL WAY STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012100",
            "telephone_number": "701-751-1145",
            "fax_number": "701-751-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDES",
        "first_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.