Active NPI
Lindsey Sarvis, LCSWA
- Clinical Social Worker
- Kernersville, NC
National Provider Identifier
1114490810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P012562
- Practice address
- 2301 Lake Shore Reserve Court
Kernersville, NC 27284 - Phone
- (843) 992-2722
- NPI assigned
- Jan 4, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P012562 | NC | Primary |
Addresses
Primary practice location
2301 Lake Shore Reserve Court
Kernersville, NC 27284
Mailing address
1200 S Broad St
Winston Salem, NC 27101-5758
Phone (336) 722-8173
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 |
|---|---|---|---|
| P012562 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services, Inc. | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Winston Salem, NC
- NPI 1225108707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1114490810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S BROAD ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271015758",
"telephone_number": "336-722-8173",
"fax_number": "336-724-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 LAKE SHORE RESERVE COURT",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "27284",
"telephone_number": "843-992-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARVIS",
"first_name": "LINDSEY",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P012562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.