Active NPI
Sarah Stuber, MSW
- Clinical Social Worker
- Peoria, IL
National Provider Identifier
1851680714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.010068
- Practice address
- 7617 N Villa Wood LN
Peoria, IL 61614-1588 - Phone
- (309) 693-8200
- Fax
- (309) 693-8207
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 149.010068 | IL | Primary |
Addresses
Primary practice location
7617 N Villa Wood LN
Peoria, IL 61614-1588
Mailing address
2115 Sierra Dr
Pekin, IL 61554-6315
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 |
|---|---|---|---|
| 149.010068 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1851680714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 SIERRA DR",
"city": "PEKIN",
"state": "IL",
"postal_code": "615546315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7617 N VILLA WOOD LN",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141588",
"telephone_number": "309-693-8200",
"fax_number": "309-693-8207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBER",
"first_name": "SARAH",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.010068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.