MRS. SARAH ELIZABETH PRESSON MSW,LCSW
NPI 1063504017
Social Worker - Clinical in Springfield, MA
NPI Status: Active since September 28, 2006
Contact Information
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
Phone: (413) 733-6661
Fax: (413) 733-7841
- Individual
- Female
- Years of Experience 23
- Social Worker
- Clinical
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About SARAH PRESSON
This page provides the complete NPI Profile along with additional information for Sarah Presson, a provider established in Springfield, Massachusetts with a medical specialization in Social Worker, focusing in clinical and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1063504017 assigned on September 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 2137634 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1063504017
- Provider Name
- MRS. SARAH ELIZABETH PRESSON MSW,LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 503 STATE ST SPRINGFIELD, MA 01109
- Location Phone
- (413) 733-6661
- Location Fax
- (413) 733-7841
- Mailing Address
- 503 STATE ST SPRINGFIELD, MA 01109
- Mailing Phone
- (413) 733-6661
- Mailing Fax
- (413) 733-7841
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-28-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical social worker like Sarah Presson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2137634
- License State
- MA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sarah Presson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Sarah Presson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7416210125
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20180411001175
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $0
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MRS. SARAH ELIZABETH PRESSON MSW,LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 5 | 0 | 4 | 0 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 10 | 0 | 8 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 0 + 0 + 8 + 0 + 2 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1063504017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MS. DENISE M ROSEMOND MSW, LCSW
Social Worker
(Clinical)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
DARRELL JOHNSON MSW
Social Worker
(Clinical)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
RICHARD FLEBOTTE MA, ,LADC-1, LMHC
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
MS. AUDREY CELINA BOSSE CFC
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
MRS. TANIA A MONTEIRO M.A.
Counselor
(Mental Health)
503 STATE ST
PSYCHIATRIC CRISIS SERVICES
SPRINGFIELD, MA
ZIP 01109
MS. MONIQUE L GONDEK-ASHE LMHC
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
GAIL ANNE VIVIAN LMHC
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
MS. DANIELLE MARIE DUGGAN MS
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
LISA E SMITH LICSW
Social Worker
(Clinical)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
KATHERINE M HILDRETH LICSW
Social Worker
(Clinical)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
MRS. LYNN CAROL FIELD RN
Registered Nurse
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
MRS. SHARON ARNOLD LAMOUREUX M.ED., CAGS
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
HEATHER M MOORE
Social Worker
(Clinical)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
MR. ROBERT OMAR AZEEZ M.ED., LADC-I, CADAC
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
LOIS MAXINE HALL RN
Registered Nurse
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
SUSANNE HALLIDAY MSW, LICSW
Social Worker
(Clinical)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
MISS RACHEL HEATHER MERRIAM M.ED., CRC
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
MRS. KATHRYN JEAN WARD M.ED.
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
PAMELA ROBINSON M.ED.
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
MRS. LUISA M RIVERA MCJ
Counselor
(Mental Health)
503 STATE ST
SPRINGFIELD, MA
ZIP 01109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063504017, enumerated as an "individual" on September 28, 2006.
The provider is located at 503 STATE ST SPRINGFIELD, MA 01109 and the phone number is (413) 733-6661.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.
