Sara Haline Eichstaedt, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110015 Issued in MA

Practice address

25 Bond St
Springfield VA Outpatient Clinic
Springfield, MA 01104

Phone

(413) 731-6052

NPI assigned

Nov 15, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1467524314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BOND ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043401",
            "telephone_number": "413-731-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOND ST",
            "address_2": "SPRINGFIELD VA OUTPATIENT CLINIC",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-731-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHSTAEDT",
        "first_name": "SARA",
        "middle_name": "HALINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Egbert
• John A Egelhofer, MD
• Heidi Jane Ehrenreich
• David Ehrlich
• Jordan Eichelser, MD
• Ashkan Eighaei Sedeh, MD
• Donald Einck
• Claudia Eitnier, CCC-SLP
• Benneth Chukwudi Ejesi, RPH
• Pauline Ekajulo

• All providers in Springfield, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.