Sara Sroufe, CLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088516 Issued in MI

Practice address

107 E Illinois St
Mt Pleasant, MI 48858-2503

Phone

(989) 773-6904

Fax

(989) 772-5339

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crisis Center Inc

  dba Listening Ear Crisis Center

  • Community/Behavioral Health Agency
  • Mt Pleasant, MI
  • NPI 1821206210
  NPD (past)
• Crisis Center Inc

  dba Listening Ear Crisis Center

  • In Home Supportive Care Agency
  • Mt Pleasant, MI
  • NPI 1861235194
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1699226316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488040800",
            "telephone_number": "989-773-6904",
            "fax_number": "989-772-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E ILLINOIS ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582503",
            "telephone_number": "989-773-6904",
            "fax_number": "989-772-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROUFE",
        "first_name": "SARA",
        "credential": "CLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Marissa Karen Spickerman, RD
• Jill Denise Sponseller, MA CCC-SLP
• Katie Ellen Squires, PHD, CCC-SLP
• St Jude Wellness PLLC
• Logan Staats
• Rhiannon Nicole Stacy, CADC-DP
• Lisa Sue Stadtfeld, RN
• Tammy Stair

• Clinical Social Worker in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.