Active NPI
Sarah Clark, LMSW
- Social Worker
- Woodstock, GA
National Provider Identifier
1093563835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW011747
- Practice address
- 4595 Towne Lake Pkwy Ste 230
Woodstock, GA 30189-5514 - Phone
- (770) 262-7943
- NPI assigned
- May 7, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW011747 | GA | Primary |
Addresses
Primary practice location
4595 Towne Lake Pkwy Ste 230
Woodstock, GA 30189-5514
Mailing address
2439 Westland Way
Acworth, GA 30102-1657
Phone (404) 263-6596
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW011747 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey to Resilience Counseling | Current | Accepting new patients |
Locations
4595 Towne Lake Pkwy
Ste 230
Woodstock, GA 30189
Phone (770) 262-7943
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, GA
- NPI 1740058031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1093563835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 WESTLAND WAY",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301021657",
"telephone_number": "404-263-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4595 TOWNE LAKE PKWY STE 230",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895514",
"telephone_number": "770-262-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "SARAH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW011747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.