Individual provider Active NPI

Tessie Smith Sadler, LCSW

  • Clinical Social Worker
  • South Hill, VA
National Provider Identifier
1184792384
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006071 Issued in VA
Practice address
306 E Atlantic St
South Hill, VA 23970-2006
Phone
(434) 774-7559
Fax
(434) 774-7559
NPI assigned
Dec 4, 2006
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 0904006071 VA Primary

Addresses

Primary practice location

306 E Atlantic St
South Hill, VA 23970-2006

Mailing address

PO Box 662
South Hill, VA 23970-0662
Phone (434) 774-7559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050708000619 VA Practitioner - Clinical Social Worker 2466488788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

306 E Atlantic St
South Hill, VA 23970-2006
Phone (434) 774-7599

PO Box
Suite 662
South Hill, VA 23970-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Behavioral Health Clinical CurrentSince Apr 28, 2015 Accepting new patients
Meherrin River Counseling Services Clinical CurrentSince Aug 27, 2014 Accepting new patients

Locations

523 Madison St
Boydton, VA 23917
Phone (434) 738-0154

876 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 447-3355

Organizations & group practices 4

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1184792384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700662",
            "telephone_number": "434-774-7559",
            "fax_number": "434-774-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E ATLANTIC ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702006",
            "telephone_number": "434-774-7559",
            "fax_number": "434-774-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "TESSIE",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

Verify at the official NPI Registry.