Sara E Nordlum
Individual provider Active NPI Clinical Social Worker · Somers, CT
NPI 1831781400 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1831781400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 13570 (CT)
- Practice address
- 475 Turnpike Rd
Somers, CT 06071-1245 - Phone
- (513) 850-4214
- NPI assigned
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CT, MA, NH
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250602002757 | CT | Practitioner - Clinical Social Worker | 6800305848 | Reassigns benefits to 1 organization |
| I20250602002879 | MA | Practitioner - Clinical Social Worker | 6800305848 | Reassigns benefits to 1 organization |
| I20250606001670 | NH | Practitioner - Clinical Social Worker | 6800305848 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126511 | MA | MD | Clinical Social Worker |
| 22729 | ME | MD | Clinical Social Worker |
| 5095 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 126511 | MA | |
| Clinical Social Worker | 1041C0700X | 22729 | ME | |
| Clinical Social Worker | 1041C0700X | 5095 | NH | |
| Clinical Social Worker | 1041C0700X | 13570 | CT | Yes |
Addresses
Primary practice location
475 Turnpike Rd
Somers, CT 06071-1245
Mailing address
475 Turnpike Rd
Somers, CT 06071-1245
Phone (513) 850-4214
Other providers in Somers, CT
- Justine Meyer
- Cynthia Mike
- Heather Lee Modzelewski
- National Birth Centers, Inc.
- Michael Louis Nero
- Karishma Patel
- Janet Mary Pfeifer
- Cassaundra E Popek
- Private Healthcare Facilities
- Robert F. Maier MD PC
All providers in Somers, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.