Individual provider Active NPI

Sarah Brock Tubaugh, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1316712540
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015943 Issued in VA
Practice address
2901 S Lynnhaven Rd
Virginia Beach, VA 23452-8505
Phone
(252) 945-8966
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 0904015943 VA Primary

Addresses

Primary practice location

2901 S Lynnhaven Rd
Virginia Beach, VA 23452-8505

Mailing address

5604 Chatmoss Rd
Midlothian, VA 23112-2360
Phone (252) 945-8966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904015943VAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1316712540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 CHATMOSS RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122360",
            "telephone_number": "252-945-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S LYNNHAVEN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234528505",
            "telephone_number": "252-945-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBAUGH",
        "first_name": "SARAH",
        "middle_name": "BROCK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.