Active NPI
Sarah Larraine Pendergrass, LMSW
- Social Worker
- Huntsville, AL
National Provider Identifier
1578332979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6502G
- Practice address
- 150 W Park Loop NW Ste 101
Huntsville, AL 35806-1759 - Phone
- (256) 239-5662
- Fax
- (256) 217-4162
- NPI assigned
- Dec 27, 2023
- Last updated
- Dec 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6502G | AL | Primary |
Addresses
Primary practice location
150 W Park Loop NW Ste 101
Huntsville, AL 35806-1759
Mailing address
150 W Park Loop NW Ste 101
Huntsville, AL 35806-1759
Phone (256) 239-5662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 9, 2025 through May 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6502G | AL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1578332979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W PARK LOOP NW STE 101",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358061759",
"telephone_number": "256-239-5662",
"fax_number": "256-217-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W PARK LOOP NW STE 101",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358061759",
"telephone_number": "256-239-5662",
"fax_number": "256-217-4162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDERGRASS",
"first_name": "SARAH",
"middle_name": "LARRAINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-27",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AL",
"license": "6502G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.