Organization Active NPI

Sacred Connection

  • Clinical Social Worker
  • Morgantown, WV
National Provider Identifier
1265080691
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SACRED CONNECTION
Practice address
507 Burroughs St Ste 109
Morgantown, WV 26505-3392
Phone
(304) 790-0481
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Sandra Kay Corbett, LICSW
Title
Social Worker
Phone
(304) 790-0481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

507 Burroughs St Ste 109
Morgantown, WV 26505-3392

Mailing address

41 Stephanie Dr
Bruceton Mills, WV 26525-7189
Phone (304) 790-0481

National Provider Directory

National Provider Directory

Locations

507 Burroughs St
Ste 109
Morgantown, WV 26505
Phone (304) 322-9922

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1265080691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 STEPHANIE DR",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265257189",
            "telephone_number": "304-790-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BURROUGHS ST STE 109",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053392",
            "telephone_number": "304-790-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "304-790-0481",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.