Individual provider Active NPI

Sarah W Anderson, LCSW

  • Clinical Social Worker
  • Hilo, HI
National Provider Identifier
1376978569
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4403 Issued in HI
Practice address
174 Panaewa St
Apt a
Hilo, HI 96720-3871
Phone
(615) 306-8314
Fax
(808) 238-0207
NPI assigned
Sep 6, 2013
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9221 TN
Clinical Social Worker 1041C0700X 4403 HI Primary

Addresses

Primary practice location

174 Panaewa St
Apt a
Hilo, HI 96720-3871

Mailing address

174 Panaewa St
Apt a
Hilo, HI 96720-3871
Phone (615) 306-8314

Other practice location 1

15-1665 21st Ave
Keaau, HI 96749
Phone (615) 306-8314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20190718003668 HI Practitioner - Clinical Social Worker 1557697141 Practice locations: Hilo, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

174 Panaewa St
Apt a
Hilo, HI 96720-3871
Phone (615) 306-8314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4403HIMDClinical Social Worker
9221TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1376978569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 PANAEWA ST",
            "address_2": "APT A",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203871",
            "telephone_number": "615-306-8314",
            "fax_number": "808-238-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 PANAEWA ST",
            "address_2": "APT A",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203871",
            "telephone_number": "615-306-8314",
            "fax_number": "808-238-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15-1665 21st Ave",
            "address_purpose": "LOCATION",
            "city": "Keaau",
            "state": "HI",
            "postal_code": "96749",
            "country_code": "US",
            "telephone_number": "615-306-8314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SARAH",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9221",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.