Individual provider Active NPI

Sarah Lynn Hulbert, LCSW

  • Clinical Social Worker
  • Greenville, IL
National Provider Identifier
1477908614
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020324 Issued in IL
Practice address
1520 S 4TH St
Prairie Counseling Center
Greenville, IL 62246
Phone
(618) 664-1455
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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 149.020324 IL Primary

Addresses

Primary practice location

1520 S 4TH St
Prairie Counseling Center
Greenville, IL 62246

Mailing address

1520 S 4TH St
Prairie Counseling Center
Greenville, IL 62246-2618
Phone (618) 664-1455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180626003261 IL Practitioner - Clinical Social Worker 3971858358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Southern Illinois University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bond County TreasurerGroup PAC ID 0446355820, 5 clinicians

Practice addresses (Care Compare)

1520 S 4TH St
Greenville, IL 62246-2618
Phone (618) 664-1455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.020324ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bond County Treasurer CurrentSince May 16, 2018 Accepting new patients
Bond County Treasurer CurrentSince May 16, 2018 Accepting new patients

Locations

1520 S 4th St
Greenville, IL 62246
Phone (618) 664-1442

Organizations & group practices 2

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1477908614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S 4TH ST",
            "address_2": "PRAIRIE COUNSELING CENTER",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462618",
            "telephone_number": "618-664-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S 4TH ST",
            "address_2": "PRAIRIE COUNSELING CENTER",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "62246",
            "telephone_number": "618-664-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

Verify at the official NPI Registry.