Active NPI
Claire Nicole Sanguedolce, LCSWA
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1609507797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P017618
- Practice address
- 409 E Hammond St
Durham, NC 27704-4423 - Phone
- (984) 224-8133
- NPI assigned
- Jun 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P017618 | NC | Primary |
Addresses
Primary practice location
409 E Hammond St
Durham, NC 27704-4423
Mailing address
409 E Hammond St
Durham, NC 27704-4423
Phone (805) 807-5142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 26, 2025 through Apr 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P017618 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1609507797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E HAMMOND ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277044423",
"telephone_number": "805-807-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 E HAMMOND ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277044423",
"telephone_number": "984-224-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGUEDOLCE",
"first_name": "CLAIRE",
"middle_name": "NICOLE",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2022-11-02",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P017618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.