Individual provider Active NPI

Sarah Cissell, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1780161885
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107931 Issued in MI
Practice address
103 E Liberty St Ste 203
Ann Arbor, MI 48104-2136
Phone
(734) 325-4083
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 6801107931 MI Primary

Addresses

Primary practice location

103 E Liberty St Ste 203
Ann Arbor, MI 48104-2136

Mailing address

103 E Liberty St Ste 203
Ann Arbor, MI 48104-2136

Other practice location 1

4925 Packard St
Ann Arbor, MI 48108-1521
Phone (734) 971-9781

Other identifiers 1

IdentifierTypeStateIssuer
6801107931OtherMISTATE LICENSE

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

LicenseStateTypeSpecialty
6801107931MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intuitive Therapy Partners PLLC Clinical Current Accepting new patients
Catholic Social Services of Washtenaw County PastSince Jun 19, 2015 Accepting new patients

Locations

103 E Liberty St
Ste 203
Ann Arbor, MI 48104
Phone (734) 210-1187

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1780161885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E LIBERTY ST STE 203",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E LIBERTY ST STE 203",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042136",
            "telephone_number": "734-325-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 Packard St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081521",
            "country_code": "US",
            "telephone_number": "734-971-9781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISSELL",
        "first_name": "SARAH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6801107931",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.