Individual provider Active NPI

Sarah Angelica Schmidt, LCSW

  • Clinical Social Worker
  • Elkhorn, WI
National Provider Identifier
1740802230
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10046-123 Issued in WI
Practice address
1910 County Road NN
Elkhorn, WI 53121
Phone
(262) 741-3200
Fax
(262) 741-3217
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 10046-123 WI Primary

Addresses

Primary practice location

1910 County Road NN
Elkhorn, WI 53121

Mailing address

PO Box 1005
Elkhorn, WI 53121-1005
Phone (262) 741-3200

Other names 1

  • Sarah Angelica Myers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20221221000068 WI Practitioner - Clinical Social Worker 0648649434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of WalworthGroup PAC ID 6002872835, 11 clinicians

Practice addresses (Care Compare)

1910 County Rd NN
Elkhorn, WI 53121-4454
Phone (262) 741-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Walworth CurrentSince Oct 3, 2022 Accepting new patients
County of Walworth CurrentSince Oct 3, 2022 Accepting new patients

Locations

1910 Highway NN
Elkhorn, WI 53121
Phone (262) 741-3200

Organizations & group practices 2

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1740802230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211005",
            "telephone_number": "262-741-3200",
            "fax_number": "262-741-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 COUNTY ROAD NN",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "53121",
            "telephone_number": "262-741-3200",
            "fax_number": "262-741-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "SARAH",
        "middle_name": "ANGELICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "10046-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MYERS",
            "middle_name": "ANGELICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.