Individual provider Active NPI

Sarah Elizabeth Maccoy, LCSW

  • Clinical Social Worker
  • Seaford, DE
National Provider Identifier
1104280510
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001501 Issued in DE
Practice address
221 High St Ste 106D
Seaford, DE 19973-3954
Phone
(392) 316-3848
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Q1-0001501 DE Primary

Addresses

Primary practice location

221 High St Ste 106D
Seaford, DE 19973-3954

Mailing address

400 N Market Street Ext
Seaford, DE 19973-1573
Phone (302) 629-6996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605002907 DE Practitioner - Clinical Social Worker 1658738745

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

221 High St
Suite 106D
Seaford, DE 19973-3954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001501DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CLH Health Services CurrentSince Apr 22, 2023 Accepting new patients
CLH Health Services CurrentSince Apr 17, 2022 Accepting new patients

Locations

221 High St
Ste 106D
Seaford, DE 19973
Phone (302) 219-0318

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1104280510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MARKET STREET EXT",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731573",
            "telephone_number": "302-629-6996",
            "fax_number": "855-422-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HIGH ST STE 106D",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733954",
            "telephone_number": "392-316-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCOY",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.