Individual provider Active NPI

Catherine Sacks, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1538176987
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002205 Issued in VA
Practice address
1110 Rose Hill Dr
Suite 201
Charlottesville, VA 22903-5159
Phone
(434) 979-0401
Fax
(434) 220-3335
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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 0904002205 VA Primary

Addresses

Primary practice location

1110 Rose Hill Dr
Suite 201
Charlottesville, VA 22903-5159

Mailing address

1110 Rose Hill Dr
Suite 201
Charlottesville, VA 22903-5159
Phone (434) 979-0401

Other identifiers 3

IdentifierTypeStateIssuer
141570OtherVAANTHEM
008944512MedicaidVA
083485OtherVASENTARA BEHAVIORAL HEALTH

Other names 1

  • Mrs. Cathryn Jespersen Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group PastSince Jul 30, 1997 Accepting new patients

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1538176987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ROSE HILL DR",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035159",
            "telephone_number": "434-979-0401",
            "fax_number": "434-220-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROSE HILL DR",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035159",
            "telephone_number": "434-979-0401",
            "fax_number": "434-220-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS, LCSW",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "141570",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008944512",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA BEHAVIORAL HEALTH",
            "identifier": "083485",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHRYN",
            "last_name": "JESPERSEN",
            "prefix": "MRS.",
            "credential": "M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.