SARAH BURNS (LICSW) – Clinical Social Worker, NPI 1093075566

SARAH BURNS (LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 19755 (MN). The NPI Number for SARAH BURNS (LICSW) is 1093075566

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SARAH BURNS (LICSW)
NPI
1093075566
Phone
(612) 871-1454
Address
2430 NICOLLET AVE
Enumeration Date
18 May 2012
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
8628476397
Group Practice PAC ID
9335288786
Professional Enrollment ID
I20211011000861
Address ID
MN554431814BR9400XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for SARAH BURNS (LICSW)

  • 2430 NICOLLET AVE

    MINNEAPOLIS, MN 554043461

    Phone: (612) 871-1454

    Fax: (612) 871-1505

    Type: Mailing

  • 9400 ZANE AVE N

    BROOKLYN PARK, MN 554431814

    Phone: (763) 762-8800

    Fax: (763) 315-4669

    Type: Mailing

  • 6363 FRANCE AVE S STE 200

    EDINA, MN 554352140

    Phone: (952) 230-9100

    Fax: (952) 926-3103

    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: 2021-10-11

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
I20211011000861IClinical Social WorkerMNTBD

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 55404)

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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: 9335288786View full group profile
NameSpecialtyState
Nurse PractitionerMN
P S Y C H I A T R YMN
Nurse PractitionerMN
Mental Health CounselorFL
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Certified Clinical Nurse Specialist (Cns)MN

Reviews

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Frequently asked questions

Can I verify SARAH BURNS (LICSW) with an NPI only?
You can start verification with NPI 1093075566 for SARAH BURNS (LICSW), then check state licensing separately.
Does CMS list SARAH BURNS (LICSW) as active?
Yes — SARAH BURNS (LICSW) is active in the NPI listing used on this page.
What is SARAH BURNS (LICSW)'s specialty?
The listing groups SARAH BURNS (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does SARAH BURNS (LICSW) list a practice location?
Patients near Minneapolis, Minnesota may find SARAH BURNS (LICSW) in results; validate coverage separately.
Why does SARAH BURNS (LICSW) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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