Individual provider Active NPI

Sarah Elizabeth Berntsen, MSW

  • Clinical Social Worker
  • Howell, MI
National Provider Identifier
1386799310
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801083294 Issued in MI
Practice address
2280 E Grand River Ave
Howell, MI 48843-8503
Phone
(517) 546-4126
NPI assigned
Jan 23, 2007
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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 6801083294 MI Primary

Addresses

Primary practice location

2280 E Grand River Ave
Howell, MI 48843-8503

Mailing address

622 E Grand River Ave
Howell, MI 48843-2329
Phone (517) 540-0081

Other names 1

  • Ms. Sarah Elizabeth Hicks Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040929000238 MI Practitioner - Clinical Social Worker 1254300080 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Counseling and Psychological Services PCGroup PAC ID 9133539158, 5 clinicians

Practice addresses (Care Compare)

745 S Walnut St
Howell, MI 48843-2579
Phone (517) 376-3002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801083294MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Hospital Crna Current Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Mar 16, 2021 Accepting new patients
Iha Health Services Corporation CurrentSince Jul 1, 2023 Accepting new patients
Independence Counseling and Psychological Services PC CurrentSince Oct 1, 2024 Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Mar 16, 2021 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Feb 1, 2020 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Feb 1, 2020 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
St Mary Mercy Hospital Professional Current Accepting new patients
Iha Health Service Corporation CurrentSince Jul 1, 2023 Accepting new patients
Livingston County Community Mental Health Authority PastSince Jan 8, 2011 Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

745 S Walnut St
Howell, MI 48843
Phone (201) 730-2462

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1386799310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432329",
            "telephone_number": "517-540-0081",
            "fax_number": "517-552-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438503",
            "telephone_number": "517-546-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNTSEN",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HICKS",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.