Sarah L Splinter, LCSW, MSW
Individual provider Active NPI Clinical Social Worker · Williams Bay, WI
NPI 1770729592 · NPPES record last updated May 11, 2021
Key facts
- NPI
- 1770729592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7694-123 (WI)
- Practice address
- N2846 State Road 67
Williams Bay, WI 53191-3771 - Phone
- (262) 245-5608
- Fax
- (262) 245-5648
- NPI assigned
- Dec 29, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Therapy Center of Madison, Inc.
Practice addresses (Care Compare)
10 E Doty St
Suite 445
Madison, WI 53703-5107
Phone (608) 276-9191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111101000119 | WI | Practitioner - Clinical Social Worker | 3072786490 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7694-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Therapy Center of Madison, Inc. | Clinical | Current |
Accepting new patients |
| Peter C. Jackson, PSYD Consulting, SC | Past |
Accepting new patients |
Locations
700 Ray O Vac Dr
Ste 220
Madison, WI 53711
Phone (608) 276-9191
10 E Doty St
Ste 445
Madison, WI 53703
Phone (608) 276-9191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7694-123 | WI | Yes |
Addresses
Primary practice location
N2846 State Road 67
Williams Bay, WI 53191-3771
Mailing address
437 S Yellowstone Dr
Ste 220
Madison, WI 53719-1061
Phone (608) 516-4347
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770729592 | Other | WI | BCBSWI |
| 1770729592 | Medicaid | WI | |
| SPLINSAR | Other | WI | MERCYCARE INSURANCE |
Other names
- Sarah L Loescher
Other providers in Williams Bay, WI
- Jose Antonio Rodriguez
- Amanda C Romero
- Lindsey Schaetz
- Kaitlin Somppi
- Alex J. Sorce
- Sarah Emily Stegmaier
- Matthew Daniel Talamo
- Karen Targo
- Monica Tomasello
- Jessica Urewicz
All providers in Williams Bay, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.