Individual provider Active NPI

Sandy Marie Hughes, LICSW

  • Clinical Social Worker
  • Gadsden, AL
National Provider Identifier
1164990883
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4231C Issued in AL
Practice address
3001 Scenic Hwy
Gadsden, AL 35904-3047
Phone
(256) 546-9265
Fax
(256) 549-0376
NPI assigned
Nov 12, 2018
Last updated
Nov 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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 4231C AL Primary

Addresses

Primary practice location

3001 Scenic Hwy
Gadsden, AL 35904-3047

Mailing address

PO Box 8406
Gadsden, AL 35902-8406
Phone (256) 546-9265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190102001215 AL Practitioner - Clinical Social Worker 0345585857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3001 Scenic Hwy
Gadsden, AL 35904-3047
Phone (256) 546-9265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4231CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Psychiatric Management, Inc. CurrentSince Nov 20, 2018 Accepting new patients
Southeastern Psychiatric Management, Inc. CurrentSince Nov 20, 2018 Accepting new patients

Locations

3001 Scenic Hwy
Gadsden, AL 35904
Phone (256) 546-9265

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, 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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1164990883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8406",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359028406",
            "telephone_number": "256-546-9265",
            "fax_number": "256-549-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SCENIC HWY",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359043047",
            "telephone_number": "256-546-9265",
            "fax_number": "256-549-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SANDY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4231C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.