Sarah M Ethridge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904018084 Issued in VA

Practice address

40 British Woods Dr # 102a
Roanoke, VA 24019-8242

Phone

(540) 268-3546

Fax

(833) 548-0842

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kaleidoscope Creative Counseling Services, PLLC

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1770321903
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1366176364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BRITISH WOODS DR # 102A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240198242",
            "telephone_number": "540-268-3546",
            "fax_number": "833-548-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BRITISH WOODS DR # 102A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240198242",
            "telephone_number": "540-268-3546",
            "fax_number": "833-548-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Eschenbach, SLP
• Sean Leon Eschenbach, DDS
• Bamlak Eshetea
• Essential Life Therapies Inc
• Joshua Essis
• Etter Enterprises Inc
• Diane N Etter, OPTICIAN
• Ericka Brooke Etter, LCSW
• Kellan Patrick Etter, DO
• Maurice Shane Etter, LCSW, CSAC

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.