Active NPI
Sandra Marie Sargent
- Clinical Social Worker
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006578
- Practice address
- 311 Judges Rd Ste 4E
Wilmington, NC 28405-3655 - Phone
- (910) 791-6767
- Fax
- (910) 791-6890
- NPI assigned
- Mar 14, 2010
- Last updated
- May 20, 2010
- 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 | C006578 | NC | Primary |
Addresses
Primary practice location
311 Judges Rd Ste 4E
Wilmington, NC 28405-3655
Mailing address
PO Box 696
Hampstead, NC 28443-0696
Phone (910) 791-6767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157JC | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
35 Plantation Dr
Suite 100B
Cameron, NC 28326-9430
Phone (919) 895-3222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006578 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verna Dority, MSW, CCSW, Inc | Clinical | Current | Accepting new patients |
Locations
35 Plantation Dr
Ste 100B
Cameron, NC 28326
Phone (346) 327-6070
602 E Academy St
Ste 103
Fuquay Varina, NC 27526
Phone (910) 762-3185
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.
-
dba Carolina Counseling Services
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1396984225
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1184948523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 696",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284430696",
"telephone_number": "910-791-6767",
"fax_number": "910-791-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 JUDGES RD STE 4E",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053655",
"telephone_number": "910-791-6767",
"fax_number": "910-791-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARGENT",
"first_name": "SANDRA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-14",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "157JC",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.