Individual provider Active NPI

Sara Test

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1780343574
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115053 Issued in NY
Practice address
427 New Karner Rd
Albany, NY 12205-3852
Phone
(518) 407-9690
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 115053 NY Primary

Addresses

Primary practice location

427 New Karner Rd
Albany, NY 12205-3852

Mailing address

3 Kings Isle LN Apt K
Mechanicville, NY 12118-3177
Phone (914) 907-3591

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sara.gartner@northernrivers.org

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
115053NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1780343574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KINGS ISLE LN APT K",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183177",
            "telephone_number": "914-907-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053852",
            "telephone_number": "518-407-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEST",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "115053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sara.gartner@northernrivers.org",
            "affiliation": "N",
            "address_1": "653 Plank Rd",
            "city": "Clifton Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120653027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.