Individual provider Active NPI

Sarah Kate Rosenblatt, LCSW

  • Social Worker
  • Glendale, WI
National Provider Identifier
1376799452
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7271 Issued in WI
Practice address
1720 W Florist Ave Ste 125
Glendale, WI 53209-3862
Phone
(414) 247-0801
Fax
(414) 247-0816
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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 7271 WI Primary

Addresses

Primary practice location

1720 W Florist Ave Ste 125
Glendale, WI 53209-3862

Mailing address

1720 W Florist Ave Ste 125
Glendale, WI 53209-3862
Phone (414) 247-0801

Other identifiers 1

IdentifierTypeStateIssuer
40958100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240816000953 WI Practitioner - Clinical Social Worker 9335687730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Creative Counseling of MilwaukeeGroup PAC ID 7012450976, 2 clinicians

Practice addresses (Care Compare)

2266 N Prospect Ave
Suite 304
Milwaukee, WI 53202-6306
Phone (414) 405-0670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7271WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling of Milwaukee CurrentSince May 1, 2024 Accepting new patients
Sebastian Family Psycholgy Practice Past Accepting new patients
Sebastian Family Psycholgy Practice Past Accepting new patients

Locations

2266 N Prospect Ave
Ste 304
Milwaukee, WI 53202
Phone (414) 248-0801

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1376799452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W FLORIST AVE STE 125",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093862",
            "telephone_number": "414-247-0801",
            "fax_number": "414-247-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W FLORIST AVE STE 125",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093862",
            "telephone_number": "414-247-0801",
            "fax_number": "414-247-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "SARAH",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "7271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40958100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.