Active NPI
Nadiah Sabrah, MSW, LCSW, THERAPIST
- Clinical Social Worker
- Swansea, IL
National Provider Identifier
1376013607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.023155
- Practice address
- 4933 Benchmark Centre Dr Ste E
Swansea, IL 62226-8927 - Phone
- (314) 348-5209
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | 149.023155 | IL | Primary |
Addresses
Primary practice location
4933 Benchmark Centre Dr Ste E
Swansea, IL 62226-8927
Mailing address
4933 Benchmark Centre Dr Ste E
Swansea, IL 62226-8927
Phone (314) 348-5209
Other practice location 1
988 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 939-4444
Other practice location 2
8 Executive Dr Ste 200
Fairview Heights, IL 62208-1350
Phone (618) 688-4763
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.023155 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nadiah LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Swansea, IL
- NPI 1255022091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1376013607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4933 BENCHMARK CENTRE DR STE E",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622268927",
"telephone_number": "314-348-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4933 BENCHMARK CENTRE DR STE E",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622268927",
"telephone_number": "314-348-5209"
}
],
"practiceLocations": [
{
"address_1": "988 N Illinois Route 3",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IL",
"postal_code": "62298",
"country_code": "US",
"telephone_number": "618-939-4444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8 Executive Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Fairview Heights",
"state": "IL",
"postal_code": "622081350",
"country_code": "US",
"telephone_number": "618-688-4763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SABRAH",
"first_name": "NADIAH",
"credential": "MSW, LCSW, THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.023155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.