Active NPI
Sarah Elizabeth Fine, LCSW
- Clinical Social Worker
- Warrenville, IL
National Provider Identifier
1467086801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149017890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149017890 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Community Ministries Inc | Clinical | Current | Accepting new patients |
| Olive Grove Counseling PLLC | Current | Accepting new patients | |
| Outreach Warrenville | Clinical | Past | 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.
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1184345845
-
- Adolescent and Children Mental Health Clinic/Center
- Wheaton, IL
- NPI 1255443669
Clinical
-
- Adolescent and Children Mental Health Clinic/Center
- Warrenville, IL
- NPI 1679130793
Clinical
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.