Individual provider Active NPI

Sarah Glanville, LICSW

  • Clinical Social Worker
  • Jamestown, NC
National Provider Identifier
1730387192
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006064 Issued in NC
Practice address
804 Ragsdale Rd
1968 Central Av
Jamestown, NC 27282-9628
Phone
(336) 802-1169
NPI assigned
Jul 6, 2007
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114036 MA
Clinical Social Worker 1041C0700X C006064 NC Primary

Addresses

Primary practice location

804 Ragsdale Rd
1968 Central Av
Jamestown, NC 27282-9628

Mailing address

804 Ragsdale Rd
Jamestown, NC 27282-9628
Phone (336) 802-1169

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

LicenseStateTypeSpecialty
114036MAMDClinical Social Worker
C006064NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1730387192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 RAGSDALE RD",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829628",
            "telephone_number": "336-802-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 RAGSDALE RD",
            "address_2": "1968 CENTRAL AV",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829628",
            "telephone_number": "336-802-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANVILLE",
        "first_name": "SARAH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114036",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.