Individual provider Active NPI

Sara Pascucci, MS, NCC, LPC

  • Social Worker
  • Raleigh, NC
National Provider Identifier
1972876787
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8414 Issued in NC
Practice address
1708 Trawick Rd, Ste 101
Raleigh, NC 27604
Phone
(919) 641-2322
Fax
(919) 852-5323
NPI assigned
Feb 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A8414 NC
Social Worker 104100000X 8414 NC Primary

Addresses

Primary practice location

1708 Trawick Rd, Ste 101
Raleigh, NC 27604

Mailing address

1708 Trawick Rd, Ste 101
Raleigh, NC 27604
Phone (919) 256-0824

Other identifiers 1

IdentifierTypeStateIssuer
NCMC128496MedicaidNC

Other names 1

  • Sara Endicott Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8414NCMDSocial Worker
A8414NCMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1972876787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 TRAWICK RD, STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27604",
            "telephone_number": "919-256-0824",
            "fax_number": "919-256-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 TRAWICK RD, STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27604",
            "telephone_number": "919-641-2322",
            "fax_number": "919-852-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUCCI",
        "first_name": "SARA",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A8414",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "8414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NCMC128496",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "ENDICOTT",
            "credential": "MS, NCC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.