SALLY MILLSAP
NPI 1649868043
Social Worker - Clinical in Berkeley, CA

Q: What is Sally Millsap's NPI number?

The NPI number for Sally Millsap is 1649868043. It was assigned to this individual provider in the NPPES registry on January 2, 2021.

Q: What is Sally Millsap'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 Sally Millsap was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 January 02, 2021PECOS EnrolledAccepts Medicare Assignment

2105 MARTIN LUTHER KING JR WAY FL 1, BERKELEY, CA 94704(913) 486-7169 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2026, Mar 19, 2026, Jan 2, 2021 (3 updates tracked since 2021).

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About Sally Millsap NPPES

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

SALLY MILLSAP (NPI 1649868043) is an individual clinical provider in Berkeley, California, licensed in California (28304) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1649868043

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSALLY MILLSAP

Location Address2105 MARTIN LUTHER KING JR WAY FL 1Berkeley, CA 94704-1108

Mailing Address3451 Mayfield Ranch Blvd Unit 307Round Rock, TX 78681-2419 · (913) 486-7169

Phone(913) 486-7169

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJanuary 2, 2021

Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1649868043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 28304✔ Licensed in NJ · 44SC06365900

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.

2105 MARTIN LUTHER KING JR WAY FL 1, Berkeley, CA 94704

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sally Millsap is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577007012

PECOS Enrollment IDI20240626000527

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.

Medicare Billing Reassignments

Medicare enrollment records show Sally Millsap reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca

36 mi

Addiction Medicine

4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054

Reassigned Medicare billing, California enrollment
1,607 clinicians in this Medicare group

NPI 1972138238 (323) 205-7088

Shine Medical Of Ca PC

43 mi

Psychiatry

325 S 1ST ST STE 200
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
45 clinicians in this Medicare group

NPI 1942935473 (888) 380-2028

Foresight Mental Health

64 mi

Counselor

1000 G ST STE 125
Sacramento, CA 95814

Reassigned Medicare billing, California enrollment
46 clinicians in this Medicare group

NPI 1902390537 (888) 588-8995

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 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 $69.00 – $202.35

Typical copayment $0.00 (range $17.25 – $50.58)

Most-billed visit code NA

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 13

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

AMBER MARIE HACKETT PMHNP-BC, BSN, RN

Nurse Practitioner (Psychiatric/Mental Health)