Individual provider Active NPI

Sara Elizabeth Carothers, LCSW, LCADC

  • Clinical Social Worker
  • Elizabethtown, KY
National Provider Identifier
1396397014
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5051 Issued in KY
Practice address
2645 Leitchfield Rd
Elizabethtown, KY 42701-8306
Phone
(270) 234-8180
Fax
(270) 234-8179
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elizabethtown Partners in Counseling Inc 6 clinicians

Practice addresses (Care Compare)

204 N Main St
Elizabethtown, KY 42701-1417
Phone (270) 360-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221205000550 KY Practitioner - Clinical Social Worker 8921477589 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
168441KYMDAddiction (Substance Use Disorder) Counselor
5051KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Partners in Counseling Inc CurrentSince Nov 28, 2022 Accepting new patients

Locations

204 N Main St
Elizabethtown, KY 42701
Phone (270) 360-1222

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 168441 KY
Addiction (Substance Use Disorder) Counselor 101YA0400X 168441 KY
Professional Counselor 101YP2500X 5051 KY
Clinical Social Worker 1041C0700X 5051 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

2645 Leitchfield Rd
Elizabethtown, KY 42701-8306

Mailing address

2645 Leitchfield Rd Ste 104
Elizabethtown, KY 42701-8306
Phone (270) 234-8180

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2021.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1396397014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 LEITCHFIELD RD STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018306",
            "telephone_number": "270-234-8180",
            "fax_number": "270-234-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 LEITCHFIELD RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018306",
            "telephone_number": "270-234-8180",
            "fax_number": "270-234-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTHERS",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-09-25",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "168441",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "168441",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "5051",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.