Active NPI
Sara Yates, MSW, LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1275965576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009813
- Practice address
- 5317 Highgate Family Medical Center
Durham, NC 27713 - Phone
- (919) 361-2644
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C009813 | NC | Primary |
Addresses
Primary practice location
5317 Highgate Family Medical Center
Durham, NC 27713
Mailing address
5317 Highgate Family Medical Center
Durham, NC 27713
Phone (919) 361-2644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P008155 | Other | NC | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
| C009813 | Other | NC | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009813 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1275965576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5317 HIGHGATE FAMILY MEDICAL CENTER",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-361-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5317 HIGHGATE FAMILY MEDICAL CENTER",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-361-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "SARA",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
"identifier": "P008155",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
"identifier": "C009813",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.