Individual provider Active NPI

Sarah Coburn Hackett, LCSW

  • Clinical Social Worker
  • Mancos, CO
National Provider Identifier
1619780913
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09932240 Issued in CO
Practice address
104 S. Main St
Suite 3
Mancos, CO 81328
Phone
(970) 403-5496
NPI assigned
Jan 30, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 CSW.09932240 CO Primary

Addresses

Primary practice location

104 S. Main St
Suite 3
Mancos, CO 81328

Mailing address

104 S. Main St
Suite 3
Mancos, CO 81328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20251104000605 CO Practitioner - Clinical Social Worker 6901396589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Awdish LPC LLCGroup PAC ID 6901341023, 2 clinicians

Practice addresses (Care Compare)

104 S Main St
Suite 3
Mancos, CO 81328-9194
Phone (970) 403-5488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09932240COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Awdish LPC LLC CurrentSince Sep 29, 2025 Accepting new patients

Locations

104 S Main St
Ste 3
Mancos, CO 81328
Phone (970) 403-5488

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": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1619780913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S. MAIN ST",
            "address_2": "SUITE 3",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "81328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S. MAIN ST",
            "address_2": "SUITE 3",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "81328",
            "telephone_number": "970-403-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "SARAH",
        "middle_name": "COBURN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mancos, CO

Sources for this page

Verify at the official NPI Registry.