Individual provider Active NPI

Sarah Elizabeth Ball, LICSW

  • Clinical Social Worker
  • Mountain BRK, AL
National Provider Identifier
1194073924
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3975C Issued in AL
Practice address
3 Office Park Cir Ste 220
Mountain BRK, AL 35223-2535
Phone
(205) 994-4683
NPI assigned
Aug 28, 2012
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 9445 TN
Social Worker 104100000X 3493G AL
Clinical Social Worker 1041C0700X 3975C AL Primary

Addresses

Primary practice location

3 Office Park Cir Ste 220
Mountain BRK, AL 35223-2535

Mailing address

3 Office Park Cir Ste 220
Mountain BRK, AL 35223-2535
Phone (205) 994-4683

Other names 1

  • Sarah Elizabeth Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3493GALMDSocial Worker
3975CALMDClinical Social Worker
9445TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Ball Counseling & Consulting LLC Clinical Current Accepting new patients
Alabama Baptist Children's Homes Dba Pathways Professional Counseling Past Accepting new patients

Locations

3 Office Park Cir
Ste 220
Mountain Brk, AL 35223
Phone (205) 419-6195

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1194073924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OFFICE PARK CIR STE 220",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232535",
            "telephone_number": "205-994-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OFFICE PARK CIR STE 220",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232535",
            "telephone_number": "205-994-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TN",
            "license": "9445",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "3493G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3975C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CLARK",
            "middle_name": "ELIZABETH",
            "credential": "LMSW/LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.