Individual provider Active NPI

Sara Elizabeth Murphy, MSW, LCSW

  • Clinical Social Worker
  • Wake Forest, NC
National Provider Identifier
1962956748
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011867 Issued in NC
Practice address
120 Capcom Ave Ste 101
Wake Forest, NC 27587-6537
Phone
(919) 665-6227
Fax
(916) 277-9380
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P010639 NC
Clinical Social Worker 1041C0700X C011867 NC Primary

Addresses

Primary practice location

120 Capcom Ave Ste 101
Wake Forest, NC 27587-6537

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other identifiers 1

IdentifierTypeStateIssuer
1962956748OtherNCINDIVIDUAL NPI

Other names 1

  • Ms. Sara Elizabeth Mang Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190606000437 NC Practitioner - Clinical Social Worker 4587997572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011867NCMDClinical Social Worker
P010639NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - North Carolina PC CurrentSince Mar 12, 2023 Accepting new patients

Locations

119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112

2150 Country Club Rd
Ste 228
Winston Salem, NC 27104
Phone (336) 203-8855

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1962956748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAPCOM AVE STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876537",
            "telephone_number": "919-665-6227",
            "fax_number": "916-277-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962956748",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MANG",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.