Sandra E Connor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004419 Issued in NC

Practice address

320 E Lee Ave
Yadkinville, NC 27055-8132

Phone

(336) 679-8805

Fax

(336) 679-3057

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New England Allergy,Asthma,Immunology and Primary Care P.C.

  • Specialist
  • North Andover, MA
  • NPI 1114009339
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699793976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 HARPERS CROSSING LN",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128684",
            "telephone_number": "336-778-0827",
            "fax_number": "336-679-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558132",
            "telephone_number": "336-679-8805",
            "fax_number": "336-679-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "SANDRA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106182",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Reklis Caudle, ACNP
• Mark Chinn, M.D.
• Kirstan Christian
• Cleveland Nathaniel Cockerham Jr.
• Hope Fox Cole, MPT
• Cook and George Inc
• Cornerstone Health Care PA
• County of Yadkin
• County of Yadkin
• County of Yadkin Office of Treasurer

• All providers in Yadkinville, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.