Active NPI
Sandra Villarrubia
- Social Worker
- Charlotte, NC
National Provider Identifier
1295008886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C010983
- Practice address
- 7825 Ballantyne Commons Pkwy
Suite 110
Charlotte, NC 28277-3174 - Phone
- (704) 446-0391
- NPI assigned
- Feb 14, 2012
- Last updated
- Apr 15, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12364 | SC | |
| Social Worker | 104100000X | C010983 | NC | Primary |
Addresses
Primary practice location
7825 Ballantyne Commons Pkwy
Suite 110
Charlotte, NC 28277-3174
Mailing address
7825 Ballantyne Commons Pkwy
Suite 110
Charlotte, NC 28277-3174
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 |
|---|---|---|---|
| C010983 | NC | MD | Social Worker |
| 12364 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main St Counseling Center | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- West Orange, NJ
- NPI 1720417876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1295008886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7825 BALLANTYNE COMMONS PKWY",
"address_2": "SUITE 110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 BALLANTYNE COMMONS PKWY",
"address_2": "SUITE 110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773174",
"telephone_number": "704-446-0391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARRUBIA",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-14",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "12364",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C010983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.