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NPI Code Detail

MEDICARE: SARA C ROSS LCSWA

MEDICARE: SARA C ROSS LCSWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP020769NC

General Provider Information

NPI Number : 1598596249
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA C ROSS LCSWA
Provider Business Mailing Address
First Line : 615 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6431
Country : US
Telephone Number : 910-343-0145
Fax Number : 910-341-5779
Provider Business Practice Location Address
First Line : 1414 MEDICAL CENTER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7505
Country : US
Telephone Number : 910-790-9949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 02/03/2026

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Directions to “ SARA C ROSS LCSWA” Practice Location

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