Sara Hyerdall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149018254 Issued in IL

Practice address

1005 W Laraway Rd Ste 230
New Lenox, IL 60451-4117

Phone

(815) 570-9303

NPI assigned

Aug 30, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ucan

  • Professional Counselor
  • Chicago, IL
  • NPI 1003634726
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1548716582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 ANDREA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512337",
            "telephone_number": "773-936-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W LARAWAY RD STE 230",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514117",
            "telephone_number": "815-570-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYERDALL",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Richard Hurley, M.D.
• Ahmed Hussain, MD
• Farooq Mohammed Hussain, MD
• Hutton Family Dental LTD
• Frank G. Hutton III, D.D.S.
• Illinois Bone and Joint Institute LLC
• Illinois Bone and Joint Institute LLC
• Illinois Bone and Joint Institute, LLC
• Valerie Lyn Imber, APN
• Independent Medical Group SC

• Clinical Social Worker in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.