SARAH ANN CORMELL (NPI# 1861056764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861056764 |
| Entity Type | Individual |
| Full Name | SARAH ANN CORMELL |
| Other Name | SARAH ANN CONNER, TAYLOR |
| Credential | LCSW, SAC |
| Practice Address |
10576 Main Street Hayward WI 54843-6658 |
| Mailing Address |
Po Box 504 Hayward WI 54843-0504 |
| Practice Telephone | 7156990026 |
| Mailing Telephone | 7156990026 |
| Mailing Fax Number | 7159342101 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15572-131 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
9017-123 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
9017-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
10576 MAIN STREET |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-6658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790324 | Ooboodash Cares Wellness Services LLC | Community/Behavioral Health | 10576 Main Street, Hayward, WI 54843-6658 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780193219 | Kellyn Ruth Ann Gutmann | Counselor | 150 Benmore Dr, Hayward, CA 94542-7936 | 2017-09-27 |
| 1386097756 | Marlene Elizabeth Economides | Counselor | 21866 Main St, Hayward, CA 94541-2614 | 2016-07-20 |
| 1275986739 | Fred Finch Youth Center | Counselor | 23515 Maud Ave, Hayward, CA 94541-4519 | 2016-07-20 |
| 1174976633 | Fred Finch Youth Center | Counselor | 2184 Thayer Ave, Hayward, CA 94545-2925 | 2016-07-20 |
| 1114370665 | Fred Finch Youth Center | Counselor | 26268 Flamingo Ave, Hayward, CA 94544-3159 | 2016-07-20 |
| 1083052542 | Eury Ramos | Counselor | 2048 B St, Hayward, CA 94541-3204 | 2013-06-06 |
| 1063776896 | Susan Lambert | Counselor | 27790 Portsmouth Ave, Hayward, CA 94545-4013 | 2012-06-26 |
| 1699058180 | Shelly Kwong | Counselor | 1318 B St Apt B-113, Hayward, CA 94541-2944 | 2011-09-21 |
| 1578861498 | Tracy Charisse Larson | Counselor | 15655 County Rd B, Hayward, WI 54843-3251 | 2011-03-01 |
| 1851608913 | Vanessa Padilla Mahaffey | Counselor | 307 Toscana Way, Hayward, CA 94545-1922 | 2010-09-09 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.