Sarah Slathar

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24640 Issued in MN

Practice address

2511 Grand St NE # 2
Minneapolis, MN 55418-3318

Phone

(763) 807-5741

NPI assigned

May 23, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Lyn-Lake Psychotherapy and Wellness LTD.

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1609355163
  NPD

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1649893777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 GRAND ST NE # 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183318",
            "telephone_number": "763-807-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 GRAND ST NE # 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183318",
            "telephone_number": "763-807-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATHAR",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carr Slade, LICSW
• Carrie Mae Slag, CCC-SLP
• Karen Sue Krueger Slaght, MSW, LICSW
• Zachary Michael Slama, DDS
• Elizabeth Slater
• Joel W Slaton, MD
• Andrew H Slattengren, DO
• Wendi Slattengren, PT
• Aimee Michele Slaughter, RN
• Katherine Slaughter, LGSW

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.