Individual provider Active NPI

Sadie Elizabeth Elbert, LISW

  • Clinical Social Worker
  • Sioux City, IA
National Provider Identifier
1528636248
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107886
Practice address
625 Court St
Sioux City, IA 51101-1919
Phone
(712) 252-3871
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 107886 IA
Clinical Social Worker 1041C0700X 107886 Primary

Addresses

Primary practice location

625 Court St
Sioux City, IA 51101-1919

Mailing address

625 Court St
Sioux City, IA 51101-1919
Phone (712) 252-3871

Other identifiers 1

IdentifierTypeStateIssuer
104100000XMedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240222000120 IA Practitioner - Clinical Social Worker 8123462751 Reassigns benefits to 1 organization
I20241112002595 TX Practitioner - Clinical Social Worker 8123462751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siouxland Mental Health Services IncGroup PAC ID 4688575251, 30 clinicians

Practice addresses (Care Compare)

625 Court St
Sioux City, IA 51101-1919
Phone (712) 252-3871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago Tribe of Nebraska Multi-Specialty CurrentSince Aug 31, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Aug 31, 2024 Accepting new patients

Locations

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

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.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1528636248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COURT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011919",
            "telephone_number": "712-252-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COURT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011919",
            "telephone_number": "712-252-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBERT",
        "first_name": "SADIE",
        "middle_name": "ELIZABETH",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "IA",
            "license": "107886",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "107886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104100000X",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.