Active NPI
Sara Vandenburg, LCSW-S
- Clinical Social Worker
- Plano, TX
National Provider Identifier
1679239982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103723
- Practice address
- 2220 Coit Rd Ste 480-118
Plano, TX 75075-3797 - Phone
- (469) 298-9738
- NPI assigned
- Nov 10, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5399-0 | HI | |
| Clinical Social Worker | 1041C0700X | 103723 | TX | Primary |
Addresses
Primary practice location
2220 Coit Rd Ste 480-118
Plano, TX 75075-3797
Mailing address
2220 Coit Rd Ste 480-118
Plano, TX 75075-3797
Phone (469) 298-9738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41830196 | Other | TX | DRIVER'S LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5399-0 | HI | MD | Clinical Social Worker |
| 103723 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1679239982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 COIT RD STE 480-118",
"city": "PLANO",
"state": "TX",
"postal_code": "750753797",
"telephone_number": "469-298-9738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 COIT RD STE 480-118",
"city": "PLANO",
"state": "TX",
"postal_code": "750753797",
"telephone_number": "469-298-9738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENBURG",
"first_name": "SARA",
"credential": "LCSW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "5399-0",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "103723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "41830196",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.