Sarah K Basler, LCSW
Individual provider Active NPI Clinical Social Worker · Herrin, IL
NPI 1447749841 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1447749841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.020489 (IL)
- Practice address
- 201 S 14TH St
Herrin, IL 62948 - Phone
- (618) 942-2171
- Fax
- (618) 351-4917
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190822000023 | IL | Practitioner - Clinical Social Worker | 1850629379 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.015539 | IL | MD | Social Worker |
| 149.020489 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Current |
Accepting new patients | |
| Mental Health Specialty Group PA | Current |
Accepting new patients |
Locations
405 W Jackson St
Carbondale, IL 62901
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
Interoperability endpoints
- sarah.basler.p1@direct.chesi.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.015539 | IL | |
| Clinical Social Worker | 1041C0700X | 149.020489 | IL | Yes |
Addresses
Primary practice location
201 S 14TH St
Herrin, IL 62948
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-1633
Other practice location 1
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Other practice location 2
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
Other practice location 3
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
Other practice location 4
1401 US Highway 45 N
Eldorado, IL 62930-3770
Phone (618) 273-2951
Other providers in Herrin, IL
- Adam Vincent Barciszewski
- Roland J Barr
- James T Barron
- Mark Anthony Abel Basco
- Lindsay Baskin
- Celeste Marie Batts
- Jennifer Batts
- Angela Louise Baxter
- Michele Behm
- Jessica Serena Marie Belobraydic
All providers in Herrin, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.