Individual provider Active NPI

Sara S Yang, LCSW

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1003460817
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015464 Issued in NC
Practice address
170 Medical Park Rd Ste 207
Mooresville, NC 28117-8583
Phone
(704) 464-4102
NPI assigned
Jul 30, 2019
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C015464 NC Primary

Addresses

Primary practice location

170 Medical Park Rd Ste 207
Mooresville, NC 28117-8583

Mailing address

170 Medical Park Rd Ste 207
Mooresville, NC 28117-8583
Phone (704) 464-4102

Other practice location 1

409 S Oakland St
Gastonia, NC 28052-4312
Phone (704) 874-9005

Other practice location 2

221 W 26th St
Newton, NC 28658-2821
Phone (704) 464-2631

Other practice location 3

873 Northern Dr NW
Conover, NC 28613-6513
Phone (704) 464-4221

Other practice location 4

338 W 15th St
Newton, NC 28658-2906
Phone (828) 465-0920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015464NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kasie Morgan Counseling CurrentSince Oct 29, 2023 Accepting new patients
Mike D Management CurrentSince Oct 29, 2023 Accepting new patients
Gaston Family Health Services, Inc. Past Accepting new patients
Gaston Family Health Services, Inc Past Accepting new patients
Gaston Family Health Services, Inc. Past Accepting new patients

Locations

170 Medical Park Rd
Ste 207
Mooresville, NC 28117
Phone (704) 464-4102

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1003460817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD STE 207",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178583",
            "telephone_number": "704-464-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD STE 207",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178583",
            "telephone_number": "704-464-4102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 S Oakland St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524312",
            "country_code": "US",
            "telephone_number": "704-874-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NC",
            "postal_code": "286582821",
            "country_code": "US",
            "telephone_number": "704-464-2631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "873 Northern Dr NW",
            "address_purpose": "LOCATION",
            "city": "Conover",
            "state": "NC",
            "postal_code": "286136513",
            "country_code": "US",
            "telephone_number": "704-464-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "338 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NC",
            "postal_code": "286582906",
            "country_code": "US",
            "telephone_number": "828-465-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "SARA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.