Individual provider Active NPI

Sabrina Carol Loomis, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1952522484
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7263-123 Issued in WI
Practice address
5 Odana Court
Madison, WI 53719
Phone
(608) 444-7996
NPI assigned
May 1, 2007
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7263-123 WI Primary

Addresses

Primary practice location

5 Odana Court
Madison, WI 53719

Mailing address

700 Ray O Vac Dr
Ste 220
Madison, WI 53711-2476
Phone (608) 257-2880

Other identifiers 1

IdentifierTypeStateIssuer
43595300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000297 WI Practitioner - Clinical Social Worker 2062562663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Therapy Center of Madison, Inc.Group PAC ID 1850285826, 15 clinicians

Practice addresses (Care Compare)

700 Ray O Vac Dr
Suite 220
Madison, WI 53711-2476
Phone (608) 276-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7263-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Center of Madison, Inc. Clinical CurrentSince Apr 14, 2014 Accepting new patients
Peter C. Jackson, PSYD Consulting, SC CurrentSince May 21, 2016 Accepting new patients
Hhu Xtra Care Inc Past Accepting new patients
Lutheran Social Services of Wisconsin and Upper Michigan, Inc. Past Accepting new patients
Family Service Madison Inc PastSince Sep 1, 1999 Accepting new patients

Locations

700 Ray O Vac Dr
Ste 220
Madison, WI 53711
Phone (608) 276-9191

Organizations & group practices 5

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1952522484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR",
            "address_2": "STE 220",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112476",
            "telephone_number": "608-257-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ODANA COURT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-444-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "SABRINA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7263-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43595300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.