Individual provider Active NPI

Sara E Pace, LISW

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1952537367
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0800052 Issued in OH
Practice address
75 E Wilson Bridge Rd Ste C6
Worthington, OH 43085-2362
Phone
(614) 420-2944
Fax
(614) 573-0501
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 I 0800052 OH Primary

Addresses

Primary practice location

75 E Wilson Bridge Rd Ste C6
Worthington, OH 43085-2362

Mailing address

75 E Wilson Bridge Rd Ste C6
Worthington, OH 43085-2362
Phone (614) 420-2944

Other names 1

  • Sara E Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090730000579 OH Practitioner - Clinical Social Worker 1759434244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

75 E Wilson Bridge Rd
Suite C6
Worthington, OH 43085-2362
Phone (614) 420-2944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 0800052OHMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1952537367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E WILSON BRIDGE RD STE C6",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852362",
            "telephone_number": "614-420-2944",
            "fax_number": "614-573-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E WILSON BRIDGE RD STE C6",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852362",
            "telephone_number": "614-420-2944",
            "fax_number": "614-573-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0800052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "JOHNSON",
            "middle_name": "E",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.