Active NPI
Sara Peugh, MSW LISW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1841393402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0144
- Practice address
- 3615 Sr 528
Ste 201
Albuquerque, NM 87114 - Phone
- (505) 899-2911
- Fax
- (505) 898-1173
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0144 | NM | Primary |
Addresses
Primary practice location
3615 Sr 528
Ste 201
Albuquerque, NM 87114
Mailing address
PO Box 44970
Rio Rancho, NM 87174
Phone (505) 899-2911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00R599 | Other | NM | BLUE CROSS BS |
Other names 1
- Mrs. Sara G Eller-Peugh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0144 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841393402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44970",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "87174",
"telephone_number": "505-899-2911",
"fax_number": "505-898-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 SR 528",
"address_2": "STE 201",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87114",
"telephone_number": "505-899-2911",
"fax_number": "505-898-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEUGH",
"first_name": "SARA",
"name_prefix": "Mrs.",
"credential": "MSW LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I0144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BS",
"identifier": "00R599",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "ELLER-PEUGH",
"middle_name": "G",
"prefix": "MRS.",
"credential": "MSW LISW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.