Individual provider Active NPI

Sarah Catherine Nicholson, LCSW

  • Clinical Social Worker
  • Landenberg, PA
National Provider Identifier
1245401140
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001242 Issued in DE
Practice address
209 Northbank Rd
Landenberg, PA 19350-9149
Phone
(302) 256-1743
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 Q1-0001242 DE Primary

Addresses

Primary practice location

209 Northbank Rd
Landenberg, PA 19350-9149

Mailing address

209 Northbank Rd
Landenberg, PA 19350-9149
Phone (302) 256-1743

Other names 1

  • Miss Sarah Catherine Halladay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20150507001602 DE Practitioner - Clinical Social Worker 7214256551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonious Mind LLC CurrentSince Oct 1, 2016 Accepting new patients

Locations

5189 W Woodmill Dr
Wilmington, DE 19808
Phone (302) 633-6001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1245401140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NORTHBANK RD",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193509149",
            "telephone_number": "302-256-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NORTHBANK RD",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193509149",
            "telephone_number": "302-256-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SARAH",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HALLADAY",
            "middle_name": "CATHERINE",
            "prefix": "MISS",
            "credential": "LCSW, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Landenberg, PA

Sources for this page

Verify at the official NPI Registry.