Individual provider Active NPI

Sarah C Baran

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1356548309
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007179 Issued in VA
Practice address
3298 Preddy Creek Rd
Charlottesville, VA 22911-5935
Phone
(434) 466-1055
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4754 KY
Clinical Social Worker 1041C0700X 0904007179 VA Primary

Addresses

Primary practice location

3298 Preddy Creek Rd
Charlottesville, VA 22911-5935

Mailing address

3298 Preddy Creek Rd
Charlottesville, VA 22911-5935
Phone (434) 466-1055

Other identifiers 2

IdentifierTypeStateIssuer
000000375182OtherKYANTHEM
30605018MedicaidKY

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

LicenseStateTypeSpecialty
0904007179VAMDClinical Social Worker
4754KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1356548309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 PREDDY CREEK RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115935",
            "telephone_number": "434-466-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 PREDDY CREEK RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115935",
            "telephone_number": "434-466-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAN",
        "first_name": "SARAH",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4754",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000375182",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.