Active NPI
Sandra Michelle James Saunders, LCSW-A
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1659933828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P013418
- Practice address
- 830 Summit Crossing PL
Gastonia, NC 28054-2192 - Phone
- (704) 917-7610
- Fax
- (704) 917-7615
- NPI assigned
- Jul 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P013418 | NC | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
830 Summit Crossing PL
Gastonia, NC 28054-2192
Mailing address
1703 Conifer Cir
Charlotte, NC 28213-3130
Phone (785) 979-0355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P013418 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1659933828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 CONIFER CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282133130",
"telephone_number": "785-979-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 SUMMIT CROSSING PL",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542192",
"telephone_number": "704-917-7610",
"fax_number": "704-917-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES SAUNDERS",
"first_name": "SANDRA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LCSW-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013418",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.