Active NPI
Sarah Medrys, MSW,LSW
- Social Worker
- Palatine, IL
National Provider Identifier
1942600101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.005812
- Practice address
- 675 N North CT
Suite 215
Palatine, IL 60067-8157 - Phone
- (847) 701-4018
- NPI assigned
- Aug 25, 2014
- Last updated
- Aug 27, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.005812 | IL | Primary |
Addresses
Primary practice location
675 N North CT
Suite 215
Palatine, IL 60067-8157
Mailing address
318 W Half Day Rd
PMB 284
Buffalo Grove, IL 60089-6547
Phone (847) 821-9346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 18, 2024 through Feb 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.005812 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Stone Resources LTD. | Past | Accepting new patients | |
| White Stone Partners LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba White Stone Counseling Resources
- Professional Counselor
- Lake Bluff, IL
- NPI 1801543616
-
- Professional Counselor
- Palatine, IL
- NPI 1124159124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1942600101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 W HALF DAY RD",
"address_2": "PMB 284",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896547",
"telephone_number": "847-821-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N NORTH CT",
"address_2": "SUITE 215",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678157",
"telephone_number": "847-701-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRYS",
"first_name": "SARAH",
"name_prefix": "Mrs.",
"credential": "MSW,LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.005812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.