Individual provider Active NPI

Elaine Sanford-Sawyer, LCSW; LICDC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1376718072
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006295 Issued in NC
Practice address
1701 Netherfield LN
Raleigh, NC 27610-4537
Phone
(919) 255-1785
Fax
(919) 231-3446
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 965606 OH
Clinical Social Worker 1041C0700X I0028072-S OH
Clinical Social Worker 1041C0700X C006295 NC Primary

Addresses

Primary practice location

1701 Netherfield LN
Raleigh, NC 27610-4537

Mailing address

1701 Netherfield LN
Raleigh, NC 27610-4537
Phone (919) 255-1785

Other names 1

  • Elaine Sanford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090423000302 NC Practitioner - Clinical Social Worker 3678621018 Reassigns benefits to 1 organization
I20240701003124 OH Practitioner - Clinical Social Worker 3678621018 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
965606OHMDAddiction (Substance Use Disorder) Counselor
C006295NCMDClinical Social Worker
I0028072-SOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 24, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Organizations & group practices 1

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1376718072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NETHERFIELD LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104537",
            "telephone_number": "919-255-1785",
            "fax_number": "919-231-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NETHERFIELD LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104537",
            "telephone_number": "919-255-1785",
            "fax_number": "919-231-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD-SAWYER",
        "first_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW; LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "965606",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0028072-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "SANFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.