Individual provider Active NPI

Sarah Ann Loverdi, LCSW-R

  • Clinical Social Worker
  • Fairport, NY
National Provider Identifier
1407071418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R056010-1 Issued in NY
Practice address
815 Ayrault Rd
Suite#6
Fairport, NY 14450-8962
Phone
(585) 764-5459
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R056010-1 NY Primary

Addresses

Primary practice location

815 Ayrault Rd
Suite#6
Fairport, NY 14450-8962

Mailing address

815 Ayrault Rd
Suite#6
Fairport, NY 14450-8962
Phone (585) 764-5459

Other identifiers 1

IdentifierTypeStateIssuer
121905FKOtherNYPREFERRED CARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 22, 2019 through Jul 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R056010-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407071418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 AYRAULT RD",
            "address_2": "SUITE#6",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508962",
            "telephone_number": "585-764-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 AYRAULT RD",
            "address_2": "SUITE#6",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508962",
            "telephone_number": "585-764-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVERDI",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056010-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE ID",
            "identifier": "121905FK",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

Verify at the official NPI Registry.