Individual provider Active NPI

Sara Shryack Wolf, LCSW

  • Clinical Social Worker
  • Springfield, MO
National Provider Identifier
1669093852
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2008008965 Issued in MO
Practice address
4541 S Farm Road 137
Springfield, MO 65810-1325
Phone
(417) 719-0196
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 2008008965 MO Primary

Addresses

Primary practice location

4541 S Farm Road 137
Springfield, MO 65810-1325

Mailing address

4541 S Farm Road 137
Springfield, MO 65810-1325
Phone (417) 719-0196

Other practice location 1

630 W Kearney St
Springfield, MO 65803-2508
Phone (417) 761-5000

Other names 1

  • Sara Goehrung Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515001194 MO Practitioner - Clinical Social Worker 9335667104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008008965MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Mar 25, 2025 Accepting new patients
Burrell, Inc. CurrentSince Mar 25, 2025 Accepting new patients

Locations

630 W Kearney St
Springfield, MO 65803
Phone (417) 761-5300

1300 E Bradford Pkwy
#H
Springfield, MO 65804

1423 N Jefferson Ave
Ste D200
Springfield, MO 65802
Phone (417) 761-5820

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1669093852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 S FARM ROAD 137",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101325",
            "telephone_number": "417-719-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 S FARM ROAD 137",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101325",
            "telephone_number": "417-719-0196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 W Kearney St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658032508",
            "country_code": "US",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SARA",
        "middle_name": "SHRYACK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008008965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "GOEHRUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.