Individual provider Active NPI

Sara Ann Moody Harper, LCSW

  • Clinical Social Worker
  • Lubbock, TX
National Provider Identifier
1568938686
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66734 Issued in TX
Practice address
3112 40TH St
Lubbock, TX 79413-2724
Phone
(804) 704-3666
NPI assigned
Oct 16, 2018
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2016021530 MO
Clinical Social Worker 1041C0700X 0904008930 VA
Clinical Social Worker 1041C0700X 66734 TX Primary

Addresses

Primary practice location

3112 40TH St
Lubbock, TX 79413-2724

Mailing address

3112 40TH St
Lubbock, TX 79413-2724
Phone (804) 704-3666

Other names 1

  • Sara Ann Moody Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190617001170 TX Practitioner - Clinical Social Worker 3678806171 Reassigns benefits to 1 organization
I20220427001986 VA Practitioner - Clinical Social Worker 3678806171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
67.11
Improvement activities
40
Cost
74.56

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016021530MOMDClinical Social Worker
66734TXMDClinical Social Worker
0904008930VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince May 23, 2019 Accepting new patients
Deer Oaks Southeast LLC CurrentSince Apr 18, 2022 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Locations

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

512 Houston St
Staunton, VA 24401
Phone (540) 886-2335

Organizations & group practices 3

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1568938686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794132724",
            "telephone_number": "804-704-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794132724",
            "telephone_number": "804-704-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "SARA",
        "middle_name": "ANN MOODY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016021530",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MOODY",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.