Active NPI
Sarah C Doebler, LCSW
- Clinical Social Worker
- West Roxbury, MA
National Provider Identifier
1467421289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115367
- Practice address
- 2020 Centre St
West Roxbury, MA 02132 - Phone
- (617) 325-6700
- Fax
- (617) 325-6581
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 115367 | MA | Primary |
Addresses
Primary practice location
2020 Centre St
West Roxbury, MA 02132
Mailing address
52 Winthrop St
West Newton, MA 02465
Phone (617) 641-9092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211979 | Other | MA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091125000370 | MA | Practitioner - Clinical Social Worker | 8325187685 | Practice locations: Duxbury, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
20 Tremont St
Suite 34
Duxbury, MA 02332-5315
Phone (857) 636-8565
33 W Sound LN
Vineyard Haven, MA 02568-6211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1467421289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 WINTHROP ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "02465",
"telephone_number": "617-641-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CENTRE ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "02132",
"telephone_number": "617-325-6700",
"fax_number": "617-325-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOEBLER",
"first_name": "SARAH",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "115367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "211979",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.