Organization Active NPI

Catherine Sacks, LCSW, PLC

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1053433615
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002205 Issued in VA
Legal business name
CATHERINE SACKS, LCSW, PLC
Practice address
1110 Rose Hill Dr
Suite 201
Charlottesville, VA 22903-5159
Phone
(434) 979-0401
Fax
(434) 220-3335
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Mrs. Catherine Sacks, LCSW
Title
Owner
Phone
(434) 979-0401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904002205 VA Primary

Addresses

Primary practice location

1110 Rose Hill Dr
Suite 201
Charlottesville, VA 22903-5159

Mailing address

1110 Rose Hill Dr
Suite 201
Charlottesville, VA 22903-5159
Phone (434) 979-0401

Other identifiers 3

IdentifierTypeStateIssuer
010326133MedicaidVA
208402OtherVAANTHEM
083485OtherVASENTARA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1053433615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ROSE HILL DR",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035159",
            "telephone_number": "434-979-0401",
            "fax_number": "434-220-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROSE HILL DR",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035159",
            "telephone_number": "434-979-0401",
            "fax_number": "434-220-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE SACKS, LCSW, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-979-0401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010326133",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "208402",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "083485",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.