Individual provider Active NPI

Sandra Ann Clements, LCSW

  • Clinical Social Worker
  • Fishersville, VA
National Provider Identifier
1508074550
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006567 Issued in VA
Practice address
19 Briar Knoll CT Ste 1
Fishersville, VA 22939-2635
Phone
(540) 949-0955
NPI assigned
May 21, 2007
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904006567 VA Primary

Addresses

Primary practice location

19 Briar Knoll CT Ste 1
Fishersville, VA 22939-2635

Mailing address

19 Briar Knoll CT Ste 1
Fishersville, VA 22939-2635
Phone (540) 949-0955

Other names 1

  • Ms. Sandra A Sears Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000235 VA Practitioner - Clinical Social Worker 6002916822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Shenandoah Psychiatric Medicine LLCGroup PAC ID 7012160716, 3 clinicians

Practice addresses (Care Compare)

19 Briar Knoll CT
Suite 1
Fishersville, VA 22939-2635
Phone (540) 949-0955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006567VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saclements LLC Clinical Current Accepting new patients
Shenandoah Psychiatric Medicine LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

19 Briar Knoll Ct
Ste 1
Fishersville, VA 22939
Phone (540) 949-0955

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1508074550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRIAR KNOLL CT STE 1",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392635",
            "telephone_number": "540-949-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRIAR KNOLL CT STE 1",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392635",
            "telephone_number": "540-949-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SEARS",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.