Individual provider Active NPI

Sarah Rose Nagle, LCSW

  • Clinical Social Worker
  • Redwood City, CA
National Provider Identifier
1215104195
Registry record updated May 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS19378 Issued in CA
Practice address
311 Beacon Shores Dr
Redwood City, CA 94065-1903
Phone
(650) 759-0231
Fax
(650) 593-5509
NPI assigned
May 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2008

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 LCS19378 CA Primary

Addresses

Primary practice location

311 Beacon Shores Dr
Redwood City, CA 94065-1903

Mailing address

311 Beacon Shores Dr
Redwood City, CA 94065-1903
Phone (650) 759-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081021000478 CA Practitioner - Clinical Social Worker 6305904251 Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS19378CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210377600000",
    "number": "1215104195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BEACON SHORES DR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651903",
            "telephone_number": "650-759-0231",
            "fax_number": "650-593-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BEACON SHORES DR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651903",
            "telephone_number": "650-759-0231",
            "fax_number": "650-593-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLE",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-10",
        "last_updated": "2008-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.