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SARA CHAMPIE
NPI 1013303809
Social Worker - Clinical in Sebastopol, CA

Active since April 08, 2015Opted out of Medicare · through Jul 1, 2027
435 PETALUMA AVE STE 140, SEBASTOPOL, CA 95472(707) 861-0577 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sara Champie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA CHAMPIE (NPI 1013303809) is an individual clinical provider in Sebastopol, California, licensed in California (87702) and active in the NPI registry since April 2015. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1013303809
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSARA CHAMPIE
Location Address435 PETALUMA AVE STE 140Sebastopol, CA 95472-4273
Mailing AddressPo Box 472Sebastopol, CA 95473-0472 · (707) 861-0577
Phone(707) 861-0577
Sole ProprietorYes
Enumeration DateApril 8, 2015
Last NPPES UpdateJuly 30, 2019
✔ NPI 1013303809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 87702
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 65842 (CA)
Also ListedSocial WorkerTaxonomy 104100000X · License 65842 (CA)
435 PETALUMA AVE STE 140, Sebastopol, CA 95472
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sara Champie has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Champie's NPI number?

The NPI number for Sara Champie is 1013303809. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Sara Champie located?

Sara Champie practices at 435 Petaluma Ave Ste 140, Sebastopol, CA 95472. The listed phone number is (707) 861-0577.

What is Sara Champie's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sara Champie enrolled in Medicare?

No. Sara Champie has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sara Champie was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.