Individual provider Active NPI

Sandra T. Halsey, LCSW, CSOTP

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1578892204
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004398 Issued in VA
Practice address
610 Campus Dr
Abingdon, VA 24210-2589
Phone
(276) 525-1586
Fax
(276) 525-1609
NPI assigned
Dec 8, 2009
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0812000173 VA
Clinical Social Worker 1041C0700X 0904004398 VA Primary

Addresses

Primary practice location

610 Campus Dr
Abingdon, VA 24210-2589

Mailing address

610 Campus Dr
Abingdon, VA 24210-2589
Phone (276) 525-1586

Other practice location 1

100 5th St
Suite 310
Bristol, TN 37620-5920
Phone (423) 822-5099

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.highlandscsb.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 California St
Suite 2300
San Francisco, CA 94111-3720

1 California St
Suite 2300
San Francisco, CA 94111-5424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0812000173VAMDCounselor
0904004398VAMDClinical Social Worker
5996TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Rogers Community Services PastSince Jan 1, 1992 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sandra.halsey.1@30520.direct.athenahealth.com

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, 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": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1578892204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CAMPUS DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102589",
            "telephone_number": "276-525-1586",
            "fax_number": "276-525-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CAMPUS DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102589",
            "telephone_number": "276-525-1586",
            "fax_number": "276-525-1609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 5th St",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376205920",
            "country_code": "US",
            "telephone_number": "423-822-5099",
            "fax_number": "423-822-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALSEY",
        "first_name": "SANDRA",
        "middle_name": "T.",
        "credential": "LCSW, CSOTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0812000173",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.highlandscsb.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "610 Campus Dr",
            "city": "Abingdon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242102589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.