Active NPI
Sandy Welton Drew, MSW
- Clinical Social Worker
- Winston Salem, NC
National Provider Identifier
1851553937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011135
- Practice address
- 175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951 - Phone
- (336) 718-3550
- Fax
- (336) 277-1825
- NPI assigned
- Jun 30, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | C011135 | NC | Primary |
Addresses
Primary practice location
175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice location 1
5 Court St
Suite 42, County Offfice Building
Norwich, NY 13815-1695
Phone (607) 337-1602
Other names 1
- Miss Sandy Lynn Welton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C011135 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
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": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1851553937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 KIMEL PARK DR STE 100",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036951",
"telephone_number": "336-718-3550",
"fax_number": "336-277-1825"
}
],
"practiceLocations": [
{
"address_1": "5 Court St",
"address_2": "Suite 42, County Offfice Building",
"address_purpose": "LOCATION",
"city": "Norwich",
"state": "NY",
"postal_code": "138151695",
"country_code": "US",
"telephone_number": "607-337-1602",
"fax_number": "607-334-4519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DREW",
"first_name": "SANDY",
"middle_name": "WELTON",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDY",
"last_name": "WELTON",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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- Helen Brooks Yearley Dresser, PA-C
- Marisa Drevenak, PA-C
- Synnoeve Saeterstad Drevland, MD
- Allison Joy Dreyer, OTR/L
- Daniel Francis Driscoll, D.D.S., P.L.L.C.
- Elizabeth Anne Driscoll
- Driven by Design Consulting & Transportation, LLC
- Drmrhpgwrd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.