Sarah Doughty
Individual provider Active NPI Clinical Social Worker · Willard, OH
NPI 1962017418 · NPPES record last updated Mar 12, 2026
Key facts
- NPI
- 1962017418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I.2607888 (OH)
- Practice address
- 313 Crestwood Dr
Willard, OH 44890-1652 - Phone
- (567) 560-3587
- NPI assigned
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
151 Marion Ave
Mansfield, OH 44903-2223
60 W Washington St
Norwalk, OH 44857-1357
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260602002626 | OH | Practitioner - Clinical Social Worker | 4880165752 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2607888 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Life Counseling & Psychiatric Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.2607888 | OH | Yes |
| Social Worker |
104100000X |
Addresses
Primary practice location
313 Crestwood Dr
Willard, OH 44890-1652
Mailing address
151 Marion Ave
Mansfield, OH 44903-2223
Other providers in Willard, OH
- Kyle Joseph Depinet
- Veselin Dimitrov
- Discount Drug Mart Inc
- Donn R Lidington DDS Inc
- Kaleigh Donnamiller
- Darrien M Douglas
- Tami Louise Duncan
- Ebert & Carmean, D.D.S., Inc
- Cameron Ebert
- Christopher J Ebert
All providers in Willard, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.