Active NPI
Sarah Elizabeth Fitzsimmons, LCSW
- Clinical Social Worker
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087589
- Practice address
- 65 Ashburton Ave
Yonkers, NY 10701-2930 - Phone
- (914) 729-4916
- NPI assigned
- Aug 10, 2016
- Last updated
- Apr 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 096330-1 | NY | |
| Clinical Social Worker | 1041C0700X | 087589-1 | NY | |
| Clinical Social Worker | 1041C0700X | 087589 | NY | Primary |
Addresses
Primary practice location
65 Ashburton Ave
Yonkers, NY 10701-2930
Mailing address
1538 E Boulevard
Peekskill, NY 10566-4819
Phone (914) 729-4916
Other practice location 1
5 Grace Church St
Port Chester, NY 10573-4911
Phone (914) 272-5276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05553833 | Medicaid | NY |
Other names 1
- Ms. Sarah Elizabeth Tubbs
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Psychologytoday.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087589-1 | NY | MD | Mental Health Counselor |
| 096330-1 | NY | MD | Social Worker |
| 087589 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Dyckman Andrus Memorial, Inc. | Current | Accepting new patients |
Locations
19 Greenridge Ave
White Plains, NY 10605
Phone (914) 949-7680
1156 N Broadway
Yonkers, NY 10701
Phone (914) 965-3700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Andrus Childrens Center
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1285628552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1558815324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1538 E BOULEVARD",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105664819",
"telephone_number": "914-729-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 ASHBURTON AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107012930",
"telephone_number": "914-729-4916"
}
],
"practiceLocations": [
{
"address_1": "5 Grace Church St",
"address_purpose": "LOCATION",
"city": "Port Chester",
"state": "NY",
"postal_code": "105734911",
"country_code": "US",
"telephone_number": "914-272-5276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZSIMMONS",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "096330-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087589-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05553833",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Psychologytoday.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "65 ASHBURTON AVE",
"city": "YONKERS",
"state": "NY",
"country_code": "US",
"postal_code": "107012930",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SARAH",
"last_name": "TUBBS",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.