Individual provider Active NPI

Sarah Dillon, MSW, LSW

  • Mental Health Counselor
  • South Bend, IN
National Provider Identifier
1780068445
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
33007137A Issued in IN
Practice address
611 Lincoln Way E
South Bend, IN 46601-3220
Phone
(574) 360-4066
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 33007137A IN Primary

Addresses

Primary practice location

611 Lincoln Way E
South Bend, IN 46601-3220

Mailing address

611 Lincoln Way E
South Bend, IN 46601-3220
Phone (574) 360-4066

Other identifiers 1

IdentifierTypeStateIssuer
201146720AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250804001816 IN Practitioner - Clinical Social Worker 6901314731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 Lincolnway W
Mishawaka, IN 46544-1711
Phone (574) 222-2635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33007137AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Counseling Services LLC Mental Health CurrentSince Jul 17, 2025 Accepting new patients

Locations

1101 Lincolnway W
Mishawaka, IN 46544
Phone (574) 222-2635

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1780068445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LINCOLN WAY E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013220",
            "telephone_number": "574-360-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LINCOLN WAY E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013220",
            "telephone_number": "574-360-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "SARAH",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "33007137A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201146720A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.