Individual provider Active NPI

Sarah Brady, MSW

  • Social Worker
  • Portage, MI
National Provider Identifier
1427418094
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801090582 Issued in MI
Practice address
5717 Oakland Dr
Suite a
Portage, MI 49024-1116
Phone
(269) 323-4473
Fax
(269) 324-0755
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801090582 MI Primary

Addresses

Primary practice location

5717 Oakland Dr
Suite a
Portage, MI 49024-1116

Mailing address

5717 Oakland Dr
Suite a
Portage, MI 49024-1116
Phone (269) 323-4473

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
6801090582MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Family Chiropractic PC PastSince Mar 4, 2008 Accepting new patients
Vitality Healthcare PC PastSince Mar 20, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1427418094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 OAKLAND DR",
            "address_2": "SUITE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241116",
            "telephone_number": "269-323-4473",
            "fax_number": "269-324-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 OAKLAND DR",
            "address_2": "SUITE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241116",
            "telephone_number": "269-323-4473",
            "fax_number": "269-324-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "SARAH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801090582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.