Individual provider Active NPI

Sarah J Clark, LCSW

  • Clinical Social Worker
  • Blacksburg, VA
National Provider Identifier
1750817201
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009530 Issued in VA
Practice address
100 Ardmore St Ste 404
Blacksburg, VA 24060-9922
Phone
(540) 709-8966
Fax
(540) 779-7665
NPI assigned
May 3, 2017
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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 0904009530 VA Primary

Addresses

Primary practice location

100 Ardmore St Ste 404
Blacksburg, VA 24060-9922

Mailing address

100 Ardmore St Ste 404
Blacksburg, VA 24060-9922
Phone (540) 709-8966

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: No
  • 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

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Hardwick, LCSW, PLLC Clinical CurrentSince Jul 19, 2021 Accepting new patients
Sarah J Clark LCSW LLC Past Accepting new patients

Locations

120 Ponderosa Dr
Ste D
Christiansburg, VA 24073
Phone (540) 268-0555

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1750817201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARDMORE ST STE 404",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240609922",
            "telephone_number": "540-709-8966",
            "fax_number": "540-779-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARDMORE ST STE 404",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240609922",
            "telephone_number": "540-709-8966",
            "fax_number": "540-779-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SARAH",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.