Kimberly Lynne Sandbrink, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1200076 Issued in OH

Practice address

65 Messimer Dr
Newark, OH 43055-1874

Phone

(740) 522-8477

Fax

(740) 788-3424

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kim Sandbrink Other name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEIJAD/Endpoint/FEIJAD

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.

• Lutheran Social Services of Central Ohio, Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1801317102
  Medicare reassignment NPD
• Lutheran Social Services of Central Ohio Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1437621331
  NPD

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1013263300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4670",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430584670",
            "telephone_number": "740-522-8477",
            "fax_number": "740-788-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MESSIMER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551874",
            "telephone_number": "740-522-8477",
            "fax_number": "740-788-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBRINK",
        "first_name": "KIMBERLY",
        "middle_name": "LYNNE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "SANDBRINK",
            "credential": "LSW, LISW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Faith Sabo, L.M.T.
• Christine Elizabeth Sadler, DPT
• Mildred Lucille Sagowitz
• Nawar Saieg, M.D.
• Maria Salyers
• Sanders & Biehle DDS Newark LLC
• Laura Sanford, PTA
• Andrew Michael Santo, MSW OHIO LISW
• Hunter Danielle Santurello, MSW, LISW-S
• Sarah Newcomer Marriage and Family Therapist LLS

• Clinical Social Worker in Newark, OH
• Providers in Newark, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.