Sarah Lynn Granberg, LCSW, MAC, CTTS, SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3162 Issued in KY

Practice address

1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096

Phone

(502) 548-8878

Fax

(502) 785-4003

NPI assigned

Nov 1, 2006

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1861570251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 MCCOY WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052314",
            "telephone_number": "502-548-8878",
            "fax_number": "502-785-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 GOLDSMITH LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183096",
            "telephone_number": "502-548-8878",
            "fax_number": "502-785-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANBERG",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MAC, CTTS, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100549480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Grammer
• Matthew Allen Grammer, LPCC
• Robert Karl Grammer, DMD
• Charles Michael Granade, MD
• Jackson Russel Granato
• Claudia Ann Grandinetti, ARNP
• Mark E Grandon, PA-C
• Dana Granger
• Megan Kathleen Granger
• Melissa Jane Granger, MA CCC-SLP

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.