Individual provider Active NPI

Sarah Marie Luetzow, MSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1396359337
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11095-123 Issued in WI
Practice address
6410 Enterprise LN Ste 210
Madison, WI 53719-1143
Phone
(262) 994-5662
NPI assigned
Sep 8, 2020
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 131951-121 WI
Clinical Social Worker 1041C0700X 11095-123 WI Primary

Addresses

Primary practice location

6410 Enterprise LN Ste 210
Madison, WI 53719-1143

Mailing address

6410 Enterprise LN Ste 210
Madison, WI 53719-1143
Phone (262) 994-5662

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

LicenseStateTypeSpecialty
131951-121WIMDMental Health Counselor
11095-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Triquestrian, LLC Addiction (Substance Use Disorder) CurrentSince Jan 21, 2024 Accepting new patients

Locations

6410 Enterprise Ln
Ste 210
Madison, WI 53719
Phone (608) 400-3672

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, 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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1396359337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ENTERPRISE LN STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191143",
            "telephone_number": "262-994-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ENTERPRISE LN STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191143",
            "telephone_number": "262-994-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETZOW",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "131951-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11095-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.