SARA VAN SLYKE (LISW-S) – Social Worker, NPI 1215036934

SARA VAN SLYKE (LISW-S) is a healthcare provider. based in Marysville, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. I0030887 (OH). The NPI Number for SARA VAN SLYKE (LISW-S) is 1215036934

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SARA VAN SLYKE (LISW-S)
NPI
1215036934
Phone
(937) 642-0048
Address
16920 SQUARE DR
Enumeration Date
21 September 2006
Last Update Date
27 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9376420048
Graduation Year
2003 (23 years ago)
PAC ID
7012914617
Group Practice PAC ID
3870506249
Professional Enrollment ID
I20061024000370
Address ID
OH430409616MA16920DRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for SARA VAN SLYKE (LISW-S)

  • 16920, Square Drive, Millcreek Meadows, Marysville, Union County, Ohio, 43040, United States

    MARYSVILLE, OH 430409616

    Phone: (937) 642-0048

    Fax: (937) 642-1316

    Type: Mailing

  • Square Drive, Millcreek Meadows, Marysville, Union County, Ohio, 43040, United States

    MARYSVILLE, OH 43040

    Phone: (937) 642-0048

    Fax: (937) 642-1316

    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: 2006-10-24

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
I20061024000370IClinical Social WorkerOHTBD

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 43040)

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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: 3870506249View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

How do I look up SARA VAN SLYKE (LISW-S) by NPI?
Use NPI 1215036934 when you need to reference SARA VAN SLYKE (LISW-S) in forms, claims, or directories.
Does this profile mean SARA VAN SLYKE (LISW-S) is currently active?
Yes — SARA VAN SLYKE (LISW-S) appears active in the national provider directory.
What kind of provider is SARA VAN SLYKE (LISW-S)?
The page reflects Social Worker for SARA VAN SLYKE (LISW-S). Clinical services aligned with this taxonomy classification.
Does SARA VAN SLYKE (LISW-S) practice in Ohio?
You will see Marysville, Ohio on file for SARA VAN SLYKE (LISW-S) alongside any extra practice locations.
How can I contact SARA VAN SLYKE (LISW-S)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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