Individual provider Active NPI

Sarah Christine Christopherson, MSW, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1447819263
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28326 Issued in MN
Practice address
324 E 35TH St
Minneapolis, MN 55408-4580
Phone
(612) 827-7181
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 55985 MN
Clinical Social Worker 1041C0700X 28326 MN Primary

Addresses

Primary practice location

324 E 35TH St
Minneapolis, MN 55408-4580

Mailing address

324 E 35TH St
Minneapolis, MN 55408-4580
Phone (612) 821-2008

Other names 1

  • Sarah Christine Welter Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.southsidechs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20220317001798 MN Practitioner - Clinical Social Worker 4880089481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

4820 77TH St W
Suite 130
Edina, MN 55435-4832
Phone (651) 313-8080

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55985MNMDSocial Worker
28326MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Clinical CurrentSince Apr 13, 2026 Accepting new patients
Fairview Express Care CurrentSince Mar 4, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients

Locations

4820 77th St W
Ste 130
Edina, MN 55435
Phone (320) 591-3559

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

Organizations & group practices 3

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1447819263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E 35TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084580",
            "telephone_number": "612-821-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E 35TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084580",
            "telephone_number": "612-827-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHERSON",
        "first_name": "SARAH",
        "middle_name": "CHRISTINE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "55985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.southsidechs.org",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "address_1": "324 E 35th St",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554084580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WELTER",
            "middle_name": "CHRISTINE",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.