Active NPI
Sarah Elizabeth Grundhoefer, L.C.S.W.
- Clinical Social Worker
- Salem, IN
National Provider Identifier
1659657567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1321 S Jackson St
Salem, IN 47167-9730 - Phone
- (812) 883-3095
- Fax
- (812) 883-4405
- NPI assigned
- Oct 25, 2011
- Last updated
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
1321 S Jackson St
Salem, IN 47167-9730
Mailing address
1321 S Jackson St
Salem, IN 47167-9730
Phone (812) 883-3095
Other names 1
- Sarah Elizabeth Elrod
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1659657567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 S JACKSON ST",
"city": "SALEM",
"state": "IN",
"postal_code": "471679730",
"telephone_number": "812-883-3095",
"fax_number": "812-883-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 S JACKSON ST",
"city": "SALEM",
"state": "IN",
"postal_code": "471679730",
"telephone_number": "812-883-3095",
"fax_number": "812-883-4405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDHOEFER",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "ELROD",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.