Individual provider Active NPI

Sara E Nordlum

  • Clinical Social Worker
  • Somers, CT
National Provider Identifier
1831781400
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13570 Issued in CT
Practice address
475 Turnpike Rd
Somers, CT 06071-1245
Phone
(513) 850-4214
NPI assigned
Feb 5, 2021
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 126511 MA
Clinical Social Worker 1041C0700X 22729 ME
Clinical Social Worker 1041C0700X 5095 NH
Clinical Social Worker 1041C0700X 13570 CT Primary

Addresses

Primary practice location

475 Turnpike Rd
Somers, CT 06071-1245

Mailing address

475 Turnpike Rd
Somers, CT 06071-1245
Phone (513) 850-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, NH3 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126511MAMDClinical Social Worker
22729MEMDClinical Social Worker
5095NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 30, 2025 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

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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1831781400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 TURNPIKE RD",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711245",
            "telephone_number": "513-850-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 TURNPIKE RD",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711245",
            "telephone_number": "513-850-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDLUM",
        "first_name": "SARA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126511",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "22729",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "5095",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, CT

Sources for this page

Verify at the official NPI Registry.