Individual provider Active NPI

Sabrina Maria Ulrich, LICSW

  • Clinical Social Worker
  • Marshall, MN
National Provider Identifier
1801321138
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15602 Issued in MN
Practice address
348 W Main St Ste 109
Marshall, MN 56258-1370
Phone
(507) 476-0495
NPI assigned
Apr 24, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 15602 MN Primary

Addresses

Primary practice location

348 W Main St Ste 109
Marshall, MN 56258-1370

Mailing address

348 W Main St Ste 109
Marshall, MN 56258-1370
Phone (507) 476-0495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20200326000783 MN Practitioner - Clinical Social Worker 0749619740 Practice locations: Marshall, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sabrina Maria Ulrich Clinical CurrentSince Apr 21, 2017 Accepting new patients

Locations

238 W Main St
Ste 5
Marshall, MN 56258
Phone (507) 476-0495

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801321138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 W MAIN ST STE 109",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581370",
            "telephone_number": "507-476-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 W MAIN ST STE 109",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581370",
            "telephone_number": "507-476-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "SABRINA",
        "middle_name": "MARIA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.