Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sara E Pattavina Moulton

Individual provider Social Worker · NPI 1497815443

Sara E Pattavina Moulton is a Clinical Social Worker in Omaha, Nebraska. Qualified in 2003, 23 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
23
Licensed in
NE
In the registry since
2006
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Practice location Address checks out

1804 S 116th St
Omaha, NE 68144-2902
Phone: (402) 312-0177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2808 S 80th Ave, Omaha, NE 68124-3253 — (402) 312-0177

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 3067 (NE)

Record details

NPI number1497815443
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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