Sarah M Duckson, MSW, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29110 Issued in MN

Practice address

486 Victoria St S
Saint Paul, MN 55102-3728

Phone

(952) 693-5766

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Kindem Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• SB Duckson LLC

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1992685259
  NPD Authorized official

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1457087785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 VICTORIA ST S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023728",
            "telephone_number": "195-269-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 VICTORIA ST S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023728",
            "telephone_number": "952-693-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKSON",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "MSW, LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KINDEM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Dubose
• Nicole Dubruiel, RN
• Michele Marie Ducharme Rauma, APRN, CNP
• David Michael Ducharme, LADC, LPCC
• Thomas P Ducker, M.D.
• Joanne Marguerite Ducommun, RN, BSN
• Rene P Ducret, MD
• Nadra Ali Dudi
• Clare Dudzinski, LICSW
• Angela Duede, COTA

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.