NPIMap

Organization Active NPI

Sarah J. Roe, LCSW

  • Clinical Social Worker
  • Holly Springs, NC
National Provider Identifier
1619348570
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
COO3486 Issued in NC
Legal business name
SARAH J. ROE, LCSW
Practice address
106 Osterville Dr
Holly Springs, NC 27540-7525
Phone
(919) 714-1634
Fax
(919) 336-5185
NPI assigned
Oct 16, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Sarah J Roe, LCSWNPI 1245242668
Title
Therapist
Phone
(919) 714-1634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X COO3486 NC Primary

Addresses

Primary practice location

106 Osterville Dr
Holly Springs, NC 27540-7525

Mailing address

106 Osterville Dr
Holly Springs, NC 27540-7525
Phone (919) 714-1634

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1619348570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OSTERVILLE DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407525",
            "telephone_number": "919-714-1634",
            "fax_number": "919-336-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OSTERVILLE DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407525",
            "telephone_number": "919-714-1634",
            "fax_number": "919-336-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH J. ROE, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "919-714-1634",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO3486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.