SARA SOUTHERN (LICSW) – Clinical Social Worker, NPI 1689124562
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,260 CLINICAL SOCIAL WORKER in MO
Provider Addresses for SARA SOUTHERN (LICSW)
1316 SOMERVILLE RD SE STE 1
DECATUR, AL 356014309
Phone: (256) 260-7361
Fax: (256) 350-5664
Type: Mailing
3801 BLUE PKWY
KANSAS CITY, MO 641302807
Phone: (816) 923-5800
Type: Location
295 Hospital St
Moulton, AL 356501210
Phone: (256) 974-6697
Fax: (256) 350-5664
Type: Location
1307 E Elm St
Athens, AL 356115318
Phone: (256) 232-3661
Fax: (256) 350-5664
Type: Location
1315 13th Ave SE
Decatur, AL 356014308
Phone: (256) 260-7306
Fax: (256) 350-5664
Type: Location
4110 US Highway 31 S
Decatur, AL 356031644
Phone: (256) 260-7360
Fax: (256) 350-5664
Type: Location
US Highway 31, Whiteside, Decatur, Limestone County, Alabama, 35602, United States
DECATUR, AL 356031644
Phone: (256) 260-7360
Fax: (256) 350-5664
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-27
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180516003083 | I | Clinical Social Worker | AL | TBD |
| I20230427003151 | I | Clinical Social Worker | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 99 | 22 | $0 |
Insurance plans in this area (ZIP 35601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor, Undefined Non Physician Type (Specify) | AL | |
| Clinical Social Worker | AL | |
| Mental Health Counselor | MS | |
| Clinical Social Worker | AL | |
| Mental Health Counselor | AL | |
| Clinical Social Worker | LA | |
| Mental Health Counselor | MS | |
| Undefined Non Physician Type (Specify) | AL | |
| - | AL | |
| Mental Health Counselor | TN |
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