MRS. COURTNI BROOKE SANDRAS-GAUT LCSW
NPI 1639695380
Social Worker - Clinical in Roanoke, VA

Q: What is Courtni Sandras-gaut's NPI number?

The NPI number for Courtni Sandras-gaut is 1639695380. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Q: What is Courtni Sandras-gaut's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since August 15, 2017PECOS Enrolled

402 CAMPBELL AVE SW, ROANOKE, VA 24016(540) 400-7431(540) 400-7091 Get Directions Write a Review

NPPES record last updated: August 15, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Courtni Brooke Sandras-gaut Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. COURTNI BROOKE SANDRAS-GAUT LCSW (NPI 1639695380) is an individual clinical provider in Roanoke, Virginia, licensed in Virginia (0904010061) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639695380

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. COURTNI BROOKE SANDRAS-GAUTCredential: LCSW

Location Address402 CAMPBELL AVE SWRoanoke, VA 24016-3627

Mailing AddressPo Box 541Roanoke, VA 24003-0541 · (540) 400-7431 · Fax (540) 400-7091

Phone(540) 400-7431

Fax(540) 400-7091

Sole ProprietorNo

Enumeration DateAugust 15, 2017

✔ NPI 1639695380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904010061

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

402 CAMPBELL AVE SW, Roanoke, VA 24016

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Courtni Brooke Sandras-gaut Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Courtni Sandras-gaut reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roanoke Resource LLC

Same address

Community/Behavioral Health

402 CAMPBELL AVE SW
Roanoke, VA 24016

Reassigned Medicare billing, Virginia enrollment
6 clinicians in this Medicare group

NPI 1104170679 (540) 400-7431

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GWENDOLYN WILLIAMS SPANGLER NP-C

Nurse Practitioner (Psychiatric/Mental Health)