Individual provider Active NPI

Sara Gregory

  • Clinical Social Worker
  • Lebanon, TN
National Provider Identifier
1982013850
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5969 Issued in TN
Practice address
500 Park Ave
Lebanon, TN 37087-3721
Phone
(615) 449-0500
Fax
(615) 453-7214
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 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 5969 TN Primary

Addresses

Primary practice location

500 Park Ave
Lebanon, TN 37087-3721

Mailing address

PO Box 521
Mount Juliet, TN 37121-0521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210121000553 TN Practitioner - Clinical Social Worker 9032523790 Reassigns benefits to 2 organizations
I20240425002716 VA Practitioner - Clinical Social Worker 9032523790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Recovery Center of Middle Tennessee, LLC 42 clinicians

Practice addresses (Care Compare)

170 Blevins Blvd
Bristol, VA 24202-6021
Phone (276) 285-3911

2636 N Mount Juliet Rd
Mt Juliet, TN 37122-8015
Phone (615) 680-0110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Recovery of Middle Tennessee, LLC CurrentSince Sep 23, 2020 Accepting new patients
Talkspace Provider Network PA CurrentSince Mar 15, 2025 Accepting new patients
Cedar Recovery Center of Middle Tennessee, LLC CurrentSince Sep 23, 2020 Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

1405 W Baddour Pkwy
Ste 101
Lebanon, TN 37087
Phone (615) 257-6844

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549

170 Blevins Blvd
Bristol, VA 24202
Phone (276) 285-3911

Organizations & group practices 3

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": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1982013850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371210521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK AVE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873721",
            "telephone_number": "615-449-0500",
            "fax_number": "615-453-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.