Individual provider Active NPI

Sarah P Lewis, L.C.S.W

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1285695981
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004267 Issued in VA
Practice address
675 Peter Jefferson Pkwy
Suite 130
Charlottesville, VA 22911-8618
Phone
(434) 218-3499
Fax
(434) 202-1006
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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 0904004267 VA Primary

Addresses

Primary practice location

675 Peter Jefferson Pkwy
Suite 130
Charlottesville, VA 22911-8618

Mailing address

675 Peter Jefferson Pkwy
Suite 130
Charlottesville, VA 22911-8618
Phone (434) 218-3499

Other identifiers 1

IdentifierTypeStateIssuer
008925542MedicaidVA

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
0904004267VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sallie M. Ross, LCSW, PLC Clinical Past Accepting new patients

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1285695981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 PETER JEFFERSON PKWY",
            "address_2": "SUITE 130",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118618",
            "telephone_number": "434-218-3499",
            "fax_number": "434-202-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PETER JEFFERSON PKWY",
            "address_2": "SUITE 130",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118618",
            "telephone_number": "434-218-3499",
            "fax_number": "434-202-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SARAH",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008925542",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.