Individual provider Active NPI

Sarah Keller

  • Clinical Social Worker
  • Harlan, IA
National Provider Identifier
1609290360
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008215 Issued in IA
Practice address
1303 Garfield Ave
Harlan, IA 51537-2063
Phone
(712) 755-5056
Fax
(712) 755-7143
NPI assigned
Feb 14, 2014
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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 008215 IA Primary

Addresses

Primary practice location

1303 Garfield Ave
Harlan, IA 51537-2063

Mailing address

1303 Garfield Ave
Harlan, IA 51537-2063
Phone (712) 755-5056

Other names 1

  • Sarah Kuil 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
008215IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby County Chris a. Myrtue Memorial Hospital Clinical PastSince Jul 1, 2020 Accepting new patients
Shelby County Chris a. Myrtue Memorial Hospital Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1609290360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 GARFIELD AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372063",
            "telephone_number": "712-755-5056",
            "fax_number": "712-755-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 GARFIELD AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372063",
            "telephone_number": "712-755-5056",
            "fax_number": "712-755-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KUIL",
            "credential": "BSW, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.