Individual provider Active NPI

Sarah Mary Patton, LCSW

  • Clinical Social Worker
  • Cumming, GA
National Provider Identifier
1730635426
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006258 Issued in GA
Practice address
2450 Atlanta Hwy Ste 1503
Cumming, GA 30040-1277
Phone
(678) 722-1031
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADC-003037-2014 FL
Clinical Social Worker 1041C0700X 6379 TN
Clinical Social Worker 1041C0700X SW11679 FL
Clinical Social Worker 1041C0700X CSW006258 GA Primary

Addresses

Primary practice location

2450 Atlanta Hwy Ste 1503
Cumming, GA 30040-1277

Mailing address

2450 Atlanta Hwy Ste 1503
Cumming, GA 30040-1277
Phone (678) 722-1031

Other practice location 1

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone (850) 883-8600

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

LicenseStateTypeSpecialty
ADC-003037-2014FLMDAddiction (Substance Use Disorder) Counselor
SW11679FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tangu, Inc Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1730635426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 1503",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401277",
            "telephone_number": "678-722-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 1503",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401277",
            "telephone_number": "678-722-1031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Boatner Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Eglin AFB",
            "state": "FL",
            "postal_code": "325421302",
            "country_code": "US",
            "telephone_number": "850-883-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "SARAH",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-003037-2014",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6379",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11679",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.