Sara Kolokotsas, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

62022 Issued in TX

Practice address

2102 Dorsey Dr
Forney, TX 75126-0925

Phone

(469) 249-3585

Fax

(201) 401-7843

NPI assigned

Apr 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Roberts Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dbtqhsinsurancesupport@relayhealth.com

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.

• Greater Dallas Support Alliance

  • Clinical Social Worker
  • Forney, TX
  • NPI 1720608540
  NPD

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1396365722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261350",
            "telephone_number": "972-521-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 DORSEY DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751260925",
            "telephone_number": "469-249-3585",
            "fax_number": "201-401-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOKOTSAS",
        "first_name": "SARA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "62022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://annieshelpline.simplybook.me/v2/",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2102 Dorsey Dr",
            "city": "Forney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751260925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DBTQHSINSURANCESUPPORT@RELAYHEALTH.COM",
            "affiliation": "Y",
            "endpointDescription": "EMAIL",
            "affiliationName": "Greater Dallas Support Alliance",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2102 Dorsey Dr",
            "city": "Forney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751260925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "ROBERTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Social Worker in Forney, TX
• Providers in Forney, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.