Individual provider Active NPI

Sarah Medrys, MSW,LSW

  • Social Worker
  • Palatine, IL
National Provider Identifier
1942600101
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.005812 Issued in IL
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
150.005812ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
White Stone Resources LTD. Past Accepting new patients
White Stone Partners LLC PastSince Mar 6, 2022 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.

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

Verify at the official NPI Registry.