Individual provider Active NPI

Sara E Anderson, LCSW

  • Clinical Social Worker
  • Decatur, IL
National Provider Identifier
1679168157
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149023019 Issued in IL
Practice address
3223 Eileen St
Decatur, IL 62521-8885
Phone
(314) 650-3804
NPI assigned
Mar 5, 2021
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 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 149023019 IL Primary

Addresses

Primary practice location

3223 Eileen St
Decatur, IL 62521-8885

Mailing address

3223 Eileen St
Decatur, IL 62521-8885
Phone (314) 650-3804

Other identifiers 1

IdentifierTypeStateIssuer
149.023019OtherILLCSW LICENSE

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

State licenses

LicenseStateTypeSpecialty
149023019ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Root'D PLLC Clinical Current Accepting new patients
Mental Health Centers of Central Illinois Clinical CurrentSince Nov 5, 2023 Accepting new patients

Locations

3225 Hedley Rd
Springfield, IL 62711
Phone (217) 726-6700

901 N 1st St
Ste 225
Springfield, IL 62702
Phone (217) 523-2217

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, 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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1679168157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 EILEEN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625218885",
            "telephone_number": "314-650-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 EILEEN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625218885",
            "telephone_number": "314-650-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "149.023019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.