Active NPI
Sarah Fenwick, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1144738857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 64880
- Practice address
- 1008 Mopac Cir Ste 200
Austin, TX 78746-6808 - Phone
- (512) 846-3448
- NPI assigned
- Jan 16, 2018
- Last updated
- Oct 21, 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 |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 64880 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Counselor
- Austin, TX
- NPI 1992179485
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.