Sara J Demetry, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890001055 Issued in VT

Practice address

1097 Main St
St Johnsbury, VT 05819-2646

Phone

(802) 274-6400

Fax

(877) 681-3291

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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 1

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sara J Demetry

  • Clinical Social Worker
  • St Johnsbury, VT
  • NPI 1730897778
  NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1609880319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4141",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058194141",
            "telephone_number": "802-274-6400",
            "fax_number": "877-681-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 MAIN ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192646",
            "telephone_number": "802-274-6400",
            "fax_number": "877-681-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRY",
        "first_name": "SARA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890001055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012661",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra A Day, BC-HIS
• Rachel Elizabeth De Amicis, MSW, LCSW, LICSW
• Kim De la Rosa, MACCCSLP
• Michelle Lee Decker
• Logan Dege Pearl, DNP
• Denis J Lamontagne, DPM
• Christopher M Dennehy
• Christopher Mark Despins, MS,ATC
• Nancy Ann Devries, APRN, BC
• Katherine Dewey

• Clinical Social Worker in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.