Individual provider Active NPI

Sarah Willoughby, LCSW

  • Clinical Social Worker
  • East Rochester, NY
National Provider Identifier
1710133830
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080112 Issued in NY
Practice address
129 W Commercial St Ste 7
East Rochester, NY 14445-2171
Phone
(585) 329-4546
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 074432 NY
Clinical Social Worker 1041C0700X 080112 NY Primary

Addresses

Primary practice location

129 W Commercial St Ste 7
East Rochester, NY 14445-2171

Mailing address

129 W Commercial St Ste 7
East Rochester, NY 14445-2171
Phone (585) 582-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • 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
I20180212000702 NY Practitioner - Clinical Social Worker 2163782285 Practice locations: East Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

129 W Commercial St
Suite 7
East Rochester, NY 14445-2171
Phone (585) 582-7740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074432NYMDMental Health Counselor
080112NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Willoughby LCSW PLLC Clinical CurrentSince Dec 7, 2025 Accepting new patients

Locations

129 W Commercial St
Ste 7
East Rochester, NY 14445
Phone (315) 863-3985

Organizations & group practices 1

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1710133830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W COMMERCIAL ST STE 7",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144452171",
            "telephone_number": "585-582-7740",
            "fax_number": "585-209-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W COMMERCIAL ST STE 7",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144452171",
            "telephone_number": "585-329-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "074432",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rochester, NY

Sources for this page

Verify at the official NPI Registry.