The Sage Center for Trauma and Wellness, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6256-C Issued in AR

Legal business name

THE SAGE CENTER FOR TRAUMA AND WELLNESS, PLLC

Practice address

2725 Cantrell Rd Ste 105
Little Rock, AR 72202-2044

Phone

(501) 400-8850

Fax

(501) 400-8839

NPI assigned

Apr 21, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Grace White, LCSW

Title

Co-Owner

Phone

(501) 681-3001

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1043630734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722022044",
            "telephone_number": "501-400-8850",
            "fax_number": "501-400-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722022044",
            "telephone_number": "501-400-8850",
            "fax_number": "501-400-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAGE CENTER FOR TRAUMA AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "501-681-3001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "11-25P",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6256-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.