Active NPI
Sandra T. Halsey, LCSW, CSOTP
- Clinical Social Worker
- Abingdon, VA
National Provider Identifier
1578892204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904004398
- 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, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0812000173 | VA | MD | Counselor |
| 0904004398 | VA | MD | Clinical Social Worker |
| 5996 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Rogers Community Services | Past | Accepting new patients |
Interoperability endpoints
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.