Sara K Walz LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010993 Issued in IL

Legal business name

SARA K WALZ LCSW, LLC

Practice address

2531 Princeton Ave
Evanston, IL 60201-4940

Phone

(312) 543-6969

NPI assigned

Dec 9, 2016

Organization subpart

No

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

Authorized official

Name

Sara K Walz, LCSWNPI 1083158679

Title

Sole Member/Owner

Phone

(312) 543-6969

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sara K Walz, LCSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1083158679
  NPD (past) Authorized official

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1740724772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 PRINCETON AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014940",
            "telephone_number": "312-543-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 PRINCETON AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014940",
            "telephone_number": "312-543-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA K WALZ LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "WALZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "312-543-6969",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigid Ann Santino, PT, DPT
• Joshua Santucci, MD
• Lina Sapiegiene, MD
• Supriya Sapkota, MD
• Michael Leland Saporito
• Sara M Gotheridge MD LLC
• Sarah H. Levi, Psy.D., P.C.
• Pavlos-Ioannis Saramadis
• Venkatesh Saravanan, MD,MRCP(UK)
• Arona Hankin Sarfatty, L.C.P.C., L.S.W.

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.