Sara N. Daniel, M.S.W., L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7052-123 Issued in WI

Practice address

1511 Barton Ave Ste a
West Bend, WI 53090-1901

Phone

(262) 305-0711

Fax

(262) 334-3588

NPI assigned

Nov 18, 2009

Last updated

Nov 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Sara N. Radke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1518295252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 BARTON AVE STE A",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901901",
            "telephone_number": "262-305-0711",
            "fax_number": "262-334-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 BARTON AVE STE A",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901901",
            "telephone_number": "262-305-0711",
            "fax_number": "262-334-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SARA",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7052-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "RADKE",
            "middle_name": "N.",
            "prefix": "MISS",
            "credential": "M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Custer, M.D.
• Mary Kathleen Cutler, RN
• Erica Czosnyka
• Kylie Dake, OTR/L
• Jesen Daniel
• Megan L Daniels, DPT
• Kelly Jean Darmody, M.D.
• Darcy Jean Dart, SAC-IT
• Lori Jo Dauss, MS, ATC, LAT
• Debra L Dautermann, PT

• Clinical Social Worker in West Bend, WI
• Providers in West Bend, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.