Individual provider Active NPI

Sarah Fenwick, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1144738857
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64880 Issued in TX
Practice address
1008 Mopac Cir Ste 200
Austin, TX 78746-6808
Phone
(512) 846-3448
NPI assigned
Jan 16, 2018
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64880 TX Primary

Addresses

Primary practice location

1008 Mopac Cir Ste 200
Austin, TX 78746-6808

Mailing address

PO Box 2366
Austin, TX 78768-2366
Phone (512) 846-3448

Other practice location 1

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (512) 846-3448

Other practice location 2

PO Box 2366
Austin, TX 78768-2366
Phone (512) 846-3448

Other names 1

  • Sarah Pendergraft Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 21, 2024 through Oct 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64880TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Recovery & Wellness Center 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1144738857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2366",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787682366",
            "telephone_number": "512-846-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MOPAC CIR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466808",
            "telephone_number": "512-846-3448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Balcones Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787314298",
            "country_code": "US",
            "telephone_number": "512-846-3448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 2366",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787682366",
            "country_code": "US",
            "telephone_number": "512-846-3448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENWICK",
        "first_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PENDERGRAFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.