SARAH ELIZABETH ANDERSON (LICSW) – Clinical Social Worker, NPI 1336118447

SARAH ELIZABETH ANDERSON (LICSW) is a healthcare provider. based in Saint paul, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 14258 (MN). The NPI Number for SARAH ELIZABETH ANDERSON (LICSW) is 1336118447

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ELIZABETH ANDERSON (LICSW)
NPI
1336118447
Phone
(651) 645-3115
Address
2176 STANFORD AVE
Enumeration Date
14 March 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516453115
Graduation Year
2003 (23 years ago)
PAC ID
2961422399
Group Practice PAC ID
3779633912
Professional Enrollment ID
I20051130000800
Address ID
MN551141052SA2550XWXXX408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for SARAH ELIZABETH ANDERSON (LICSW)

  • 2176, West Stanford Avenue, Macalester - Groveland, Saint Paul, Ramsey County, Minnesota, 55105, United States

    SAINT PAUL, MN 55105

    Phone: (651) 645-3115

    Fax: (651) 645-2752

    Type: Mailing

  • Egg & I, 2550, University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States

    STE 229N

    SAINT PAUL, MN 55114

    Phone: (651) 645-3115

    Fax: (651) 645-2752

    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: 2005-11-30

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
I20051130000800IClinical 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 55105)

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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: 3779633912View full group profile
NameSpecialtyState
P S Y C H I A T R YMN
Clinical Social WorkerMN
Certified Clinical Nurse Specialist (Cns)MN
Clinical Social WorkerMN
Nurse PractitionerMN
Nurse PractitionerMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the standard ID for SARAH ELIZABETH ANDERSON (LICSW) in the U.S.?
In the U.S., SARAH ELIZABETH ANDERSON (LICSW) is identified by NPI 1336118447.
Does the public listing show SARAH ELIZABETH ANDERSON (LICSW) as active?
SARAH ELIZABETH ANDERSON (LICSW)'s NPI record reflects an active status in NPPES.
What services align with SARAH ELIZABETH ANDERSON (LICSW)'s listing?
SARAH ELIZABETH ANDERSON (LICSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to SARAH ELIZABETH ANDERSON (LICSW)?
SARAH ELIZABETH ANDERSON (LICSW) shows a connection to Saint Paul, Minnesota in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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