Individual provider Active NPI

Sara Jane Winkelman, LCSW

  • Clinical Social Worker
  • Caldwell, ID
National Provider Identifier
1801553276
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-41860 Issued in ID
Practice address
1609 S Kimball Ave Ste 201
Caldwell, ID 83605-5196
Phone
(208) 899-8101
NPI assigned
Nov 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-41860 ID Primary
Mental Health Counselor 101YM0800X M7578 OR

Addresses

Primary practice location

1609 S Kimball Ave Ste 201
Caldwell, ID 83605-5196

Mailing address

23258 Hartley LN
Middleton, ID 83644-5108
Phone (208) 697-8467

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s.winkelman@syringabh.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20220810001617 ID Practitioner - Clinical Social Worker 3971986803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1609 S Kimball Ave
Suite 202
Caldwell, ID 83605-5196
Phone (208) 899-8101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M7578ORMDMental Health Counselor
LCSW-41860IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Ministries Syringa Wellness Mental Health CurrentSince Jul 21, 2022 Accepting new patients

Locations

1609 S Kimball Ave
#202
Caldwell, ID 83605
Phone (208) 899-8101

1609 S Kimball Ave
Ste 200
Caldwell, ID 83605
Phone (208) 899-8101

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": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1801553276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23258 HARTLEY LN",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445108",
            "telephone_number": "208-697-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 S KIMBALL AVE STE 201",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055196",
            "telephone_number": "208-899-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKELMAN",
        "first_name": "SARA",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-41860",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "M7578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s.winkelman@syringabh.com",
            "affiliation": "N",
            "endpointDescription": "Syringa Wellness work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1609 S Kimball Ave Ste 201",
            "city": "Caldwell",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836055196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.