Active NPI
Sarah E. Dickey, LMSW
- Social Worker
- Rexburg, ID
National Provider Identifier
1770915076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-32650
- Practice address
- 310 N 2ND E Ste 128
Rexburg, ID 83440-1607 - Phone
- (208) 356-5675
- NPI assigned
- Aug 8, 2013
- Last updated
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-32650 | ID | Primary |
Addresses
Primary practice location
310 N 2ND E Ste 128
Rexburg, ID 83440-1607
Mailing address
310 N 2ND E Ste 128
Rexburg, ID 83440-1607
Phone (208) 356-5675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-32650 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Fork Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Rexburg, ID
- NPI 1588006217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1770915076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N 2ND E STE 128",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401607",
"telephone_number": "208-356-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N 2ND E STE 128",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401607",
"telephone_number": "208-356-5675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "SARAH",
"middle_name": "E.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-32650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.