Individual provider Active NPI

Sarah Stormont, LSW

  • Social Worker
  • Longmont, CO
National Provider Identifier
1962016311
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0009921872 Issued in CO
Practice address
500 Kimbark St Ste 200
Longmont, CO 80501-5585
Phone
(303) 651-1515
Fax
(720) 652-0408
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 0009921872 CO Primary

Addresses

Primary practice location

500 Kimbark St Ste 200
Longmont, CO 80501-5585

Mailing address

500 Kimbark St Ste 200
Longmont, CO 80501-5585
Phone (303) 651-1515

Other identifiers 1

IdentifierTypeStateIssuer
0009921872OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0009921872COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Krupnick Counseling Associates PC CurrentSince Sep 6, 2020 Accepting new patients

Locations

500 Kimbark St
Ste 200
Longmont, CO 80501
Phone (303) 651-1515

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1962016311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIMBARK ST STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015585",
            "telephone_number": "303-651-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KIMBARK ST STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015585",
            "telephone_number": "303-651-1515",
            "fax_number": "720-652-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMONT",
        "first_name": "SARAH",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009921872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0009921872",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.