SARAH ALLYN MOELLENBERG (LLMSW) – Social Worker, NPI 1073894465

SARAH ALLYN MOELLENBERG (LLMSW) is a healthcare provider. based in Lincoln park, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LLMSW. They hold a License No. 6801090970 (MI). The NPI Number for SARAH ALLYN MOELLENBERG (LLMSW) is 1073894465

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ALLYN MOELLENBERG (LLMSW)
NPI
1073894465
Phone
(313) 389-7500
Address
26184 OUTER DR
Enumeration Date
30 August 2011
Last Update Date
30 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344584601
Graduation Year
2008 (18 years ago)
PAC ID
5092012799
Group Practice PAC ID
3173429560
Professional Enrollment ID
I20160323002123
Address ID
MI481501000LI37450RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for SARAH ALLYN MOELLENBERG (LLMSW)

  • 26184 OUTER DR

    LINCOLN PARK, MI 481462084

    Phone: (313) 389-7500

    Type: Mailing

  • 25 OWEN ST

    BELLEVILLE, MI 481112921

    Phone: (734) 697-7880

    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: 2016-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160323002123IClinical Social WorkerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48146)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173429560View full group profile
NameSpecialtyState
-MI
P S Y C H I A T R YMI
Mental Health CounselorMI
Nurse PractitionerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Mental Health CounselorMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

How do I look up SARAH ALLYN MOELLENBERG (LLMSW) by NPI?
Use NPI 1073894465 when you need to reference SARAH ALLYN MOELLENBERG (LLMSW) in forms, claims, or directories.
Is SARAH ALLYN MOELLENBERG (LLMSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SARAH ALLYN MOELLENBERG (LLMSW) list a primary specialty?
If you are matching referrals, note Social Worker for SARAH ALLYN MOELLENBERG (LLMSW). Clinical services aligned with this taxonomy classification.
Where does public data place SARAH ALLYN MOELLENBERG (LLMSW)?
The snapshot lists Lincoln Park, Michigan for SARAH ALLYN MOELLENBERG (LLMSW); download NPPES for the complete set.
Is SARAH ALLYN MOELLENBERG (LLMSW) a real provider?
This page reflects official NPPES data for NPI 1073894465. Always confirm identity and privileges with the practice and licensing boards.

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