Organization Active NPI

Sage Windemaker, LCSW, LLC

  • Clinical Social Worker
  • Chadds Ford, PA
National Provider Identifier
1184279846
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAGE WINDEMAKER, LCSW, LLC
Practice address
330 Kennett Pike Ste 205B
Chadds Ford, PA 19317-8217
Phone
(717) 364-0385
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Sage Windemaker, LCSWNPI 1891223079
Title
Owner, Clinical Director, Therapist
Phone
(717) 364-0385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

330 Kennett Pike Ste 205B
Chadds Ford, PA 19317-8217

Mailing address

4 Walnut Dr
Lincoln University, PA 19352-8920
Phone (717) 364-0385

National Provider Directory

National Provider Directory

Locations

330 Kennett Pike
Ste 205B
Chadds Ford, PA 19317
Phone (717) 364-0385

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1184279846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALNUT DR",
            "city": "LINCOLN UNIVERSITY",
            "state": "PA",
            "postal_code": "193528920",
            "telephone_number": "717-364-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KENNETT PIKE STE 205B",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193178217",
            "telephone_number": "717-364-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE WINDEMAKER, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "WINDEMAKER",
        "authorized_official_first_name": "SAGE",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR, THERAPIST",
        "authorized_official_telephone_number": "717-364-0385",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.