Sara Stallman PLLC
NPI 1093305450ActiveOrganization· Social Worker, Clinical· Moorhead, MN
Social Worker, Clinical in Moorhead, Minnesota, registered in NPPES in January 2021. The authorized official on file is Sara Ann Stallman, LICSW, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1093305450 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2021 |
| Last updated in NPPES | Jul 17, 2026 |
| Certified by provider | Jul 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Case Management | 251B00000X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (ND) |
|---|
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