Individual provider Active NPI

Sarah Baker, LCSW

  • Clinical Social Worker
  • Prescott, AZ
National Provider Identifier
1568937985
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-17887 Issued in AZ
Practice address
550 S Montezuma St Ste a
Prescott, AZ 86303-4200
Phone
(928) 925-0093
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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 LCSW-17887 AZ Primary

Addresses

Primary practice location

550 S Montezuma St Ste a
Prescott, AZ 86303-4200

Mailing address

550 S Montezuma St Ste a
Prescott, AZ 86303-4200
Phone (928) 925-0093

Other practice location 1

1678 Oaklawn Dr Ste A
Prescott, AZ 86305-1109
Phone (928) 910-5145

Other practice location 2

914 E Gurley St Ste 200
Prescott, AZ 86301-3245
Phone (928) 910-5145

Other names 1

  • Ms. Sarah McGlynn-Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-17887AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Office of Dr. Debbie Ritterbush PHD CurrentSince Jul 25, 2019 Accepting new patients
Sarah McGlynn-Moore LLC Clinical PastSince Sep 23, 2021 Accepting new patients

Locations

914 E Gurley St
Ste 200
Prescott, AZ 86301
Phone (928) 899-9677

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": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1568937985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S MONTEZUMA ST STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034200",
            "telephone_number": "928-925-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S MONTEZUMA ST STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034200",
            "telephone_number": "928-925-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1678 Oaklawn Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863051109",
            "country_code": "US",
            "telephone_number": "928-910-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 E Gurley St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863013245",
            "country_code": "US",
            "telephone_number": "928-910-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MCGLYNN-MOORE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.