Sardie Rochelle Izzard, LCAS-A, LCSW-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1102 Kindley St
Greensboro, NC 27406-4213

Phone

(336) 458-7135

NPI assigned

May 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Phoenix Counseling and Recovery Services, LLC

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1477065415

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1154613354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BATTLEGROUND AVE STE 205",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012153",
            "telephone_number": "336-550-4558",
            "fax_number": "336-550-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 KINDLEY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064213",
            "telephone_number": "336-458-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZARD",
        "first_name": "SARDIE",
        "middle_name": "ROCHELLE",
        "credential": "LCAS-A, LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22298",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ivantchev, MD
• Jonishawa Jontay Danielle Ivory
• Nora Iwunze
• Vincent Amaechi Izediuno, MD, MRCPSYCH
• Mya Izzard
• Izzy Health, PLLC
• J Dale Curtis, DDS
• J David Civils & Janna C Civils DDS PA
• J Selig Cooper DDS PA
• J&E White Enterprises LLC

• Addiction (Substance Use Disorder) Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.