Sarah Shannon Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004633 Issued in NC

Practice address

201 N Fourth St
Mebane, NC 27302-2429

Phone

(919) 563-5633

Fax

(919) 563-5633

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mangrum Health Services LLC

  • Physical Therapist
  • Efland, NC
  • NPI 1902511736
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1093773210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CELESTE CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FOURTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273022429",
            "telephone_number": "919-563-5633",
            "fax_number": "919-563-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "middle_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003497",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Davis Skeeter
• SLF Podiatry, PLLC
• Smith Orthodontics
• Cynthia S Smith, PT
• Latasha Machelle-Kelly Smith, LCSW-A
• Solutions Community Support Agency, LLC
• Nao Souma, MD
• Sarah Elizabeth Spencer, DPT
• Mariah Sponseller, RN
• Patricia Oliver Sprouse, M.S., L.P.C.

• Clinical Social Worker in Mebane, NC
• Providers in Mebane, 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 Nov 1, 2013; 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.