Individual provider Active NPI

Sarah Elizabeth Fine, LCSW

  • Clinical Social Worker
  • Warrenville, IL
National Provider Identifier
1467086801
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017890 Issued in IL
Practice address
28W542 Batavia Rd
Warrenville, IL 60555-3009
Phone
(630) 393-7057
Fax
(630) 393-7029
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 149017890 IL Primary

Addresses

Primary practice location

28W542 Batavia Rd
Warrenville, IL 60555-3009

Mailing address

28W542 Batavia Rd
Warrenville, IL 60555-3009
Phone (630) 393-7057

Other names 1

  • Sarah Elizabeth Drake 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149017890ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Community Ministries Inc Clinical CurrentSince Mar 1, 2020 Accepting new patients
Olive Grove Counseling PLLC Current Accepting new patients
Outreach Warrenville Clinical PastSince Mar 1, 2020 Accepting new patients

Locations

28W542 Batavia Rd
Warrenville, IL 60555
Phone (630) 393-7057

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1467086801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28W542 BATAVIA RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553009",
            "telephone_number": "630-393-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28W542 BATAVIA RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553009",
            "telephone_number": "630-393-7057",
            "fax_number": "630-393-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DRAKE",
            "middle_name": "ELIZABETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.