Individual provider Active NPI

Sara Milanowski Van Doren, LCSW

  • Counselor
  • Danbury, CT
National Provider Identifier
1780363127
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
004357 Issued in CT
Practice address
78 Triangle St
Danbury, CT 06810-6977
Phone
(203) 448-3200
Fax
(203) 448-3199
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 004357 CT Primary

Addresses

Primary practice location

78 Triangle St
Danbury, CT 06810-6977

Mailing address

78 Triangle St
Danbury, CT 06810-6977
Phone (203) 448-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240130003520 CT Practitioner - Clinical Social Worker 1658724224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1780363127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 TRIANGLE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106977",
            "telephone_number": "203-448-3200",
            "fax_number": "203-448-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 TRIANGLE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106977",
            "telephone_number": "203-448-3200",
            "fax_number": "203-448-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DOREN",
        "first_name": "SARA",
        "middle_name": "MILANOWSKI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "004357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.