Active NPI
Sara S Yang, LCSW
- Clinical Social Worker
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C015464
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C015464 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kasie Morgan Counseling | Current | Accepting new patients | |
| Mike D Management | Current | 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.
-
dba Ellie Mental Health
- Mental Health Counselor
- Mooresville, NC
- NPI 1336837947
-
dba Kintegra Family Medicine - Xray Dr
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1306644315
-
dba Kintegra at North Newton Elementary
- Federally Qualified Health Center (FQHC)
- Newton, NC
- NPI 1023598570
-
dba Kintegra at Newton-Conover Middle
- Federally Qualified Health Center (FQHC)
- Conover, NC
- NPI 1750861308
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.