Sarah E Starbird LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006383 Issued in CT

Legal business name

SARAH E STARBIRD LLC

Practice address

1078 W Main St
Waterbury, CT 06708-2651

Phone

(203) 445-6445

NPI assigned

Jul 8, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Elizabeth Starbird, LCSWNPI 1215151691

Title

Owner

Phone

(203) 445-6445

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah E. Starbird, LCSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1215151691
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1740663780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LYNWOOD DR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162808",
            "telephone_number": "203-445-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082651",
            "telephone_number": "203-445-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH E STARBIRD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "STARBIRD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-445-6445",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004039368",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11750785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hector Santos, LMT
• Michele Santos, LPC
• Stephanie Santos, PT
• Sylvia G Santos, RMA
• Dennis Santulli
• Sarah J Ward-Watson
• Alexander William Sasse, MD
• Katherine Sasso, LMSW
• Balakrishnan Sathishchandar, M.D.
• Esther Sauer, BCBA

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.