Individual provider Active NPI

Sara Barrett, LCSW

  • Clinical Social Worker
  • Cortez, CO
National Provider Identifier
1760948897
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09925705 Issued in CO
Practice address
1311A N Mildred Rd
Cortez, CO 81321-2231
Phone
(970) 565-8556
Fax
(970) 564-1134
NPI assigned
Feb 13, 2019
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 CSW09925705 CO Primary

Addresses

Primary practice location

1311A N Mildred Rd
Cortez, CO 81321-2231

Mailing address

1311A N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666

Other names 1

  • Sara Herzog Vavoulis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbarrett@swhealth.direct-ci.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190614002341 CO Practitioner - Clinical Social Worker 2567795024 Reassigns benefits to 1 organization
I20260311001236 ID Practitioner - Clinical Social Worker 2567795024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Whole Healthcare Organization Inc.Group PAC ID 9830564665, 5 clinicians

Practice addresses (Care Compare)

824 S Diamond St
Nampa, ID 83686-5960
Phone (208) 546-3046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW09925705COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Hospital and Medical Center, Inc CurrentSince Mar 2, 2022 Accepting new patients
Cornerstone Whole Healthcare Organization, Inc. CurrentSince Feb 1, 2026 Accepting new patients
St Mary's Hospital and Medical Center, Inc Current Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince Mar 2, 2022 Accepting new patients

Locations

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

2698 Patterson Rd
Unit 42
Grand Junction, CO 81506
Phone (970) 298-2800

824 S Diamond St
Nampa, ID 83686
Phone (208) 546-3046

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1760948897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311A N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311A N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-8556",
            "fax_number": "970-564-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09925705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbarrett@swhealth.direct-ci.net",
            "affiliation": "N",
            "endpointDescription": "Southwest Health System - Behavior Health - LCSW",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311A N Mildred Rd",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "VAVOULIS",
            "middle_name": "HERZOG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.