SARA SOUTHERN LICSW
NPI 1689124562
Social Worker - Clinical in Kansas City, MO

Q: What is Sara Southern's NPI number?

The NPI number for Sara Southern is 1689124562. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Q: What is Sara Southern'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 Sara Southern was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 04, 2016PECOS EnrolledAccepts Medicare Assignment

3801 BLUE PKWY, KANSAS CITY, MO 64130(816) 923-5800 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2021, Mar 17, 2018, Nov 27, 2017 (3 updates tracked since 2017).

On this page

About Sara Southern Licsw NPPES

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

SARA SOUTHERN LICSW (NPI 1689124562) is an individual clinical provider in Kansas City, Missouri, licensed in Alabama (3814C) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1689124562

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSARA SOUTHERNCredential: LICSW

Location Address3801 BLUE PKWYKansas City, MO 64130-2807

Mailing Address1316 Somerville Rd Se Ste 1Decatur, AL 35601-4309 · (256) 260-7361 · Fax (256) 350-5664

Phone(816) 923-5800

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 4, 2016

Last NPPES UpdateJuly 28, 20213 updates tracked since enumeration

NPPES CertifiedJuly 28, 2021

✔ NPI 1689124562 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 AL · 3814C

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.

3801 BLUE PKWY, Kansas City, MO 64130

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1295 Hospital StMoulton, AL 35650-1210 · Phone (256) 974-6697 · Fax (256) 350-5664

Location 21307 E Elm StAthens, AL 35611-5318 · Phone (256) 232-3661 · Fax (256) 350-5664

Location 31315 13th Ave SEDecatur, AL 35601-4308 · Phone (256) 260-7306 · Fax (256) 350-5664

Location 44110 US Highway 31 SDecatur, AL 35603-1644 · Phone (256) 260-7360 · Fax (256) 350-5664

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sara Southern Licsw 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 ID6204191497

PECOS Enrollment IDI20230427003151

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

49 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64130 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 $55.29 – $168.52

Typical copayment $0.00 (range $13.82 – $42.13)

Most-billed visit code NA

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

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.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

SEAN M RYAN FNP-C

Nurse Practitioner (Family)