Individual provider Active NPI

Sara J Eldridge, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1720635147
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091541 Issued in NY
Practice address
352 7TH Ave FL 12
New York, NY 10001-5893
Phone
(929) 266-5428
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 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 091541 NY Primary

Addresses

Primary practice location

352 7TH Ave FL 12
New York, NY 10001-5893

Mailing address

352 7TH Ave FL 12
New York, NY 10001-5893

Other practice location 1

590 Flatbush Ave
Brooklyn, NY 11225-4966
Phone (917) 722-2392

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
I20241126001317 NY Practitioner - Clinical Social Worker 5890220941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberation-Based Therapy LCSW PLLCGroup PAC ID 7618330598, 2 clinicians

Practice addresses (Care Compare)

1115 Broadway
FL 12
New York, NY 10010-3452
Phone (917) 722-2392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091541NYMDClinical Social Worker
095815NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Liberation-Based Therapy LCSW PLLC Clinical CurrentSince Aug 9, 2024 Accepting new patients

Locations

1115 Broadway
Fl 12
New York, NY 10010
Phone (347) 766-5580

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1720635147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 7TH AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015893",
            "telephone_number": "929-266-5428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Flatbush Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112254966",
            "country_code": "US",
            "telephone_number": "917-722-2392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "SARA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.