Individual provider Active NPI

Alexis Marie Koerner Sabul, LCSWA

  • Clinical Social Worker
  • Monroe, NC
National Provider Identifier
1265232706
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020475 Issued in NC
Practice address
2330 Concord Ave
Monroe, NC 28110-8767
Phone
(704) 296-6186
NPI assigned
Mar 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 P020475 NC Primary

Addresses

Primary practice location

2330 Concord Ave
Monroe, NC 28110-8767

Mailing address

2330 Concord Ave
Monroe, NC 28110-8767
Phone (704) 296-6186

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
P020475NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Union CurrentSince Mar 20, 2025 Accepting new patients

Locations

2330 Concord Ave
Monroe, NC 28110
Phone (704) 296-4800

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": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1265232706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 CONCORD AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108767",
            "telephone_number": "704-296-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 CONCORD AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108767",
            "telephone_number": "704-296-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABUL",
        "first_name": "ALEXIS",
        "middle_name": "MARIE KOERNER",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.