Individual provider Active NPI

Sarah Bradley

  • Clinical Social Worker
  • Wilson, NC
National Provider Identifier
1740695501
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P008901 Issued in NC
Practice address
2130 Forest Hills Rd W
Suite a
Wilson, NC 27893-3680
Phone
(252) 265-9200
NPI assigned
Jun 30, 2014
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P008901 NC Primary

Addresses

Primary practice location

2130 Forest Hills Rd W
Suite a
Wilson, NC 27893-3680

Mailing address

2130 Forest Hills Rd W
Suite a
Wilson, NC 27893-3680
Phone (252) 265-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P008901NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Wellness and Counseling, PLLC Past Accepting new patients
Psychological Mobile Services Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1740695501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 FOREST HILLS RD W",
            "address_2": "SUITE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933680",
            "telephone_number": "252-265-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 FOREST HILLS RD W",
            "address_2": "SUITE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933680",
            "telephone_number": "252-265-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.