Individual provider Active NPI

Rosann Therese Sarka, MSW ACSW

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1538146527
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001892 Issued in NC
Practice address
107 Kilson Dr
Suite 202
Mooresville, NC 28117-8162
Phone
(704) 660-8321
Fax
(704) 660-8323
NPI assigned
Dec 29, 2005
Last updated
May 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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 C001892 NC Primary

Addresses

Primary practice location

107 Kilson Dr
Suite 202
Mooresville, NC 28117-8162

Mailing address

107 Kilson Dr
Suite 202
Mooresville, NC 28117-8162
Phone (704) 660-8321

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C001892NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1538146527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 KILSON DR",
            "address_2": "SUITE 202",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178162",
            "telephone_number": "704-660-8321",
            "fax_number": "704-660-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KILSON DR",
            "address_2": "SUITE 202",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178162",
            "telephone_number": "704-660-8321",
            "fax_number": "704-660-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKA",
        "first_name": "ROSANN",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "MSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.