Active NPI
Sarah Cissell, LMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1780161885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801107931
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801107931 | Other | MI | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801107931 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intuitive Therapy Partners PLLC | Clinical | Current | Accepting new patients |
| Catholic Social Services of Washtenaw County | Past | 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.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1790382984
-
- Voluntary or Charitable Agency
- Ann Arbor, MI
- NPI 1679687339
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.