Individual provider Active NPI

Sarah Chan, MSW, LISW-S

  • Clinical Social Worker
  • Peterson AFB, CO
National Provider Identifier
1457711624
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 1450840 SUPV Issued in OH
Practice address
599 Vincent St
Peterson AFB, CO 80914-1541
Phone
(719) 556-7804
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 1450840 SUPV OH Primary

Addresses

Primary practice location

599 Vincent St
Peterson AFB, CO 80914-1541

Mailing address

559 Vincent St. Space Base Delta 1
Peterson Space Force Base
Colorado Springs, CO 80914

Other practice location 1

7219 N Litchfield Rd
Luke AFB, AZ 85309-1529
Phone (856) 623-7579

Other practice location 2

68 W Church St
Suite 318
Newark, OH 43055-5050
Phone (740) 281-1777

Other names 1

  • Sarah Benedetti Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 1450840 SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Psychological Services Inc CurrentSince Oct 5, 2021 Accepting new patients

Locations

106 Starret St
Ste 100
Lancaster, OH 43130
Phone (740) 687-0042

624 E Main St
Lancaster, OH 43130
Phone (740) 475-0488

Organizations & group practices 1

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1457711624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST. SPACE BASE DELTA 1",
            "address_2": "PETERSON SPACE FORCE BASE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 VINCENT ST",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-556-7804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7219 N Litchfield Rd",
            "address_purpose": "LOCATION",
            "city": "Luke AFB",
            "state": "AZ",
            "postal_code": "853091529",
            "country_code": "US",
            "telephone_number": "856-623-7579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 W Church St",
            "address_2": "Suite 318",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430555050",
            "country_code": "US",
            "telephone_number": "740-281-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SARAH",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 1450840 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BENEDETTI",
            "credential": "MSW, LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peterson AFB, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.