Sara O'Brien, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088979-01 Issued in NY

Practice address

200 Wood Rd
Ballston Spa, NY 12020-2245

Phone

(518) 292-5433

Fax

(518) 514-1383

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Parsons Child and Family Center

  • Custodial Care Facility
  • Albany, NY
  • NPI 1922171305
  Medicare reassignment NPD

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1447633185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WOODSTEAD RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191626",
            "telephone_number": "518-879-2380",
            "fax_number": "518-899-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOOD RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202245",
            "telephone_number": "518-292-5433",
            "fax_number": "518-514-1383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Woodstead Rd",
            "address_purpose": "LOCATION",
            "city": "Ballston Lake",
            "state": "NY",
            "postal_code": "120191626",
            "country_code": "US",
            "telephone_number": "518-879-2380",
            "fax_number": "518-899-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095042",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088979-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Elizabeth Nichols
• Tracey Diane Nieckarz, LCSW-R
• Andrea Ackley Nielsen, RN
• Nysarc Inc., Saratoga County Chapter
• James Sean O'Brien, RPH
• Kathryn Maria O'Leary, SLP
• Pamela Dawn O'Rourke
• Danielle Marie Oakey, MSN, APRN, AGACNP-BC
• Michelle L Odonnell, OTR
• Regina Marie Oeffner, LPN

• Clinical Social Worker in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.