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SARA ZAJAC LICSW
NPI 1770904732
Social Worker - Clinical in Seattle, WA

Active since December 18, 2013PECOS Enrolled
1455 NW LEARY WAY STE 400-101, SEATTLE, WA 98107(509) 242-9202 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 18, 2021, Mar 18, 2019, Aug 8, 2018 (3 updates tracked since 2018).

About Sara Zajac Licsw NPPES

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

SARA ZAJAC LICSW (NPI 1770904732) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW60922002) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tacoma, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770904732
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSARA ZAJACCredential: LICSW
Location Address1455 NW LEARY WAY STE 400-101Seattle, WA 98107-5124
Mailing Address6840 S Warner StTacoma, WA 98409-4023
Phone(509) 242-9202
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 18, 2013
Last NPPES UpdateMay 18, 20213 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1770904732 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 WA · LW60922002✔ Licensed in HI · LCSW 4146
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.
1455 NW LEARY WAY STE 400-101, Seattle, WA 98107
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Secondary Practice Location 1

Location 12202 S Cedar St # 175Tacoma, WA 98405 · Phone (253) 218-4035

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6800261470
PECOS Enrollment IDI20230412003072
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 Reassignment

Medicare enrollment records show Sara Zajac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nvelup Telehealth PLLC
Same address
Psychiatry
1455 NORTHWEST LEARY WAY, SUITE 400-#101
Seattle, WA 98107
  • Reassigned Medicare billing, Washington enrollment
  • 11 clinicians in this Medicare group
NPI 1356952766 (509) 242-9202

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 98107 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 $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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 Zajac's NPI number?

The NPI number for Sara Zajac is 1770904732. It was assigned to this individual provider in the NPPES registry on December 18, 2013.

Where is Sara Zajac located?

Sara Zajac practices at 1455 NW Leary Way Ste 400-101, Seattle, WA 98107. The listed phone number is (509) 242-9202.

What is Sara Zajac's specialty?

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

Is Sara Zajac enrolled in Medicare?

Yes. Sara Zajac is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Zajac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Zajac reassigns Medicare benefits to Nvelup Telehealth PLLC (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Zajac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Zajac was last updated on May 18, 2021. 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.