Active NPI
Sarah Mary Patton, LCSW
- Clinical Social Worker
- Cumming, GA
National Provider Identifier
1730635426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006258
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ADC-003037-2014 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| SW11679 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Substance Abuse Rehabilitation Facility
- Atlanta, GA
- NPI 1114042132
Addiction (Substance Use Disorder)
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.