Individual provider Active NPI

Sarah Kristine Vassar, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1346517596
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6392 Issued in TN
Practice address
5118 Park Ave
Memphis, TN 38117-5720
Phone
(901) 458-8638
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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 6392 TN Primary

Addresses

Primary practice location

5118 Park Ave
Memphis, TN 38117-5720

Mailing address

5118 Park Ave
Memphis, TN 38117-5720
Phone (901) 458-8638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907001208 TN Practitioner - Clinical Social Worker 1658777206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Randr Mental Health LLCGroup PAC ID 2264803956, 6 clinicians

Practice addresses (Care Compare)

6373 N Quail Hollow Rd
Suite 202
Memphis, TN 38120-1405
Phone (901) 441-8322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6392TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
R&R Mental Health LLC Clinical CurrentSince Jan 18, 2023 Accepting new patients
Impact Healthcare, PLLC Past Accepting new patients

Locations

6373 N Quail Hollow Rd
Ste 202
Memphis, TN 38120
Phone (901) 264-0464

Organizations & group practices 2

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": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1346517596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175720",
            "telephone_number": "901-458-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175720",
            "telephone_number": "901-458-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSAR",
        "first_name": "SARAH",
        "middle_name": "KRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.