Sara Reynolds Kirk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010106 Issued in NC

Practice address

1512 E Franklin St
Suite 100
Chapel Hill, NC 27514-2816

Phone

(984) 974-6669

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1013465590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DRIVE",
            "address_2": "UNC HOSPITALS BEACON PROGRAM",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "984-974-0470",
            "fax_number": "984-974-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 E FRANKLIN ST",
            "address_2": "SUITE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142816",
            "telephone_number": "984-974-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "SARA",
        "middle_name": "REYNOLDS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiefer Wayne Kious, MD, MS
• Marvin Gray Kirby Jr., PHARMD
• Mary Kate Callaway Kirby, MS, RDN, LD, CSSD
• Erin Lynn Kirchgessner, MSW, LCSW, LCASA
• Christopher Kirk, DDS
• Tripuraneni D Kirk, MD
• Jennifer T Kirkpatrick, LCMHC, ATR
• Adam Jason Kiser, C.P.O.
• Justine Renee Kiser, C.O.
• Margaret A Kiser, MD

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.