SARAH UNDERDAHL LICSW
NPI 1093301715
Social Worker - Clinical in Shakopee, MN

Q: What is Sarah Underdahl's NPI number?

The NPI number for Sarah Underdahl is 1093301715. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Q: What is Sarah Underdahl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sarah Underdahl was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 16, 2020PECOS Enrolled

200 4TH AVE W STE 300, SHAKOPEE, MN 55379(952) 496-8457(952) 496-8355 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sarah Underdahl Licsw NPPES

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

SARAH UNDERDAHL LICSW (NPI 1093301715) is an individual clinical provider in Shakopee, Minnesota, licensed in Minnesota (22657) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093301715

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSARAH UNDERDAHLCredential: LICSW

Location Address200 4TH AVE W STE 300Shakopee, MN 55379-1220

Mailing Address200 4th Ave W Ste 300Shakopee, MN 55379-1220 · (952) 496-8457 · Fax (952) 496-8355

Phone(952) 496-8457

Fax(952) 496-8355

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 16, 2020

NPPES CertifiedDecember 16, 2020

✔ NPI 1093301715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 22657

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.

200 4TH AVE W STE 300, Shakopee, MN 55379

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Underdahl Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527543768

PECOS Enrollment IDI20260326001004

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATELYN ROSE WECKWERTH

Social Worker (Clinical)