Active NPI
Sarah Marshall, LCSW, LCAS
- Clinical Social Worker
- Clemmons, NC
National Provider Identifier
1477967503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010317
- Practice address
- 2554 Lewisville Clemmons Rd Ste 303
Clemmons, NC 27012-8749 - Phone
- (336) 429-0254
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20925 | NC | |
| Clinical Social Worker | 1041C0700X | C010317 | NC | Primary |
Addresses
Primary practice location
2554 Lewisville Clemmons Rd Ste 303
Clemmons, NC 27012-8749
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 564-4950
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20925 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C010317 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1477967503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "336-564-4950",
"fax_number": "336-564-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2554 LEWISVILLE CLEMMONS RD STE 303",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128749",
"telephone_number": "336-429-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "SARAH",
"credential": "LCSW, LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "20925",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.