Active NPI
Eric Allen Sader, JD, MSW, LSW
- Social Worker
- Bloomington, IN
National Provider Identifier
1740602119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33008207A
- Practice address
- 1309 E. 10TH Street, Hodge Hall
Suite 4080
Bloomington, IN 47405-1701 - Phone
- (812) 855-4877
- NPI assigned
- Jan 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8925 | KS | |
| Social Worker | 104100000X | IN | ||
| Social Worker | 104100000X | 33008207A | IN | Primary |
Addresses
Primary practice location
1309 E. 10TH Street, Hodge Hall
Suite 4080
Bloomington, IN 47405-1701
Mailing address
1309 E. 10TH Street, Hodge Hall
Suite 4080
Bloomington, IN 47405
Phone (812) 855-4877
Other practice location 1
401 N Morton St Ste 130
Bloomington, IN 47404-3729
Phone (812) 349-3420
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)
- Not enrolled
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33008207A | IN | MD | Social Worker |
| 8925 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1740602119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 E. 10TH STREET, HODGE HALL",
"address_2": "SUITE 4080",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47405",
"telephone_number": "812-855-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 E. 10TH STREET, HODGE HALL",
"address_2": "SUITE 4080",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474051701",
"telephone_number": "812-855-4877"
}
],
"practiceLocations": [
{
"address_1": "401 N Morton St Ste 130",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474043729",
"country_code": "US",
"telephone_number": "812-349-3420",
"fax_number": "812-349-3582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SADER",
"first_name": "ERIC",
"middle_name": "ALLEN",
"credential": "JD, MSW, LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-20",
"last_updated": "2021-05-15",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "8925",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33008207A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.