Sarah Holloway Poole, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019497 Issued in NC

Practice address

14072 Elkin Highway 268
Ronda, NC 28670-9199

Phone

(336) 827-0089

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Aspen Mental Health Therapy and Consulting, PLLC

  dba Aspen Mental Health

  • Community/Behavioral Health Agency
  • Ronda, NC
  • NPI 1033609474
  NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1356024145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MAPLE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212321",
            "telephone_number": "336-902-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14072 ELKIN HIGHWAY 268",
            "city": "RONDA",
            "state": "NC",
            "postal_code": "286709199",
            "telephone_number": "336-827-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "SARAH",
        "middle_name": "HOLLOWAY",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly J Lackey, M.ED.
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• Omni Visions, Inc.
• Michael Dewitt Osborne
• Osborne's Oxygen Service
• Rha Health Services Inc
• Lora Michelle Salley, LCMHC, LCAS
• Jordan Nicole Shore, LCMHCA
• Alexander B Snyder, MD
• Tri County Family Medicine

• Clinical Social Worker in Ronda, NC
• Providers in Ronda, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.