Active NPI
Sarah Mizelle
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1295277671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010385
- Practice address
- 5306 NC Highway 55
Suite 105
Durham, NC 27713-7812 - Phone
- (919) 457-1517
- NPI assigned
- Nov 16, 2016
- 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 | C010385 | NC | Primary |
Addresses
Primary practice location
5306 NC Highway 55
Suite 105
Durham, NC 27713-7812
Mailing address
5306 NC Highway 55
Suite 105
Durham, NC 27713-7812
Phone (919) 457-1517
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1295277671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5306 NC HIGHWAY 55",
"address_2": "SUITE 105",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137812",
"telephone_number": "919-457-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5306 NC HIGHWAY 55",
"address_2": "SUITE 105",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137812",
"telephone_number": "919-457-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZELLE",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010385",
"primary": true
}
],
"identifiers": [],
"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 Nov 16, 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.