Individual provider Active NPI

Sarah Kaiser

  • Social Worker
  • Wilder, KY
National Provider Identifier
1619454071
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
253309 Issued in KY
Practice address
1 Moock Rd Ste 101
Wilder, KY 41071
Phone
(859) 341-9333
Fax
(859) 341-9444
NPI assigned
Jul 27, 2018
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 253309 KY Primary

Addresses

Primary practice location

1 Moock Rd Ste 101
Wilder, KY 41071

Mailing address

1 Moock Rd Ste 101
Wilder, KY 41071-5465
Phone (859) 341-9333

Other practice location 1

7459 Burlington Pike
Florence, KY 41042-1553
Phone (859) 331-3292

Other identifiers 1

IdentifierTypeStateIssuer
253309OtherKYKENTUCKY BOARD OF SOCIAL WORK

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
253309KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Mental Health Mental Retardation Regional Board Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1619454071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MOOCK RD STE 101",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "410715465",
            "telephone_number": "859-341-9333",
            "fax_number": "859-341-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MOOCK RD STE 101",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "41071",
            "telephone_number": "859-341-9333",
            "fax_number": "859-341-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7459 Burlington Pike",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421553",
            "country_code": "US",
            "telephone_number": "859-331-3292",
            "fax_number": "859-578-3242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "253309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF SOCIAL WORK",
            "identifier": "253309",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilder, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.