Sandra Kay Pessefall, L.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S0011234 Issued in OH

Practice address

7320 State Highway 108
Suite a
Wauseon, OH 43567-8200

Phone

(419) 335-3732

NPI assigned

Aug 20, 2007

Last updated

Aug 20, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1023201514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 STATE HIGHWAY 108",
            "address_2": "SUITE A",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435678200",
            "telephone_number": "419-335-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 STATE HIGHWAY 108",
            "address_2": "SUITE A",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435678200",
            "telephone_number": "419-335-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSEFALL",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "credential": "L.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0011234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonie Sue Ott, LSW
• Lucas Prescott Parsell
• Patrick W. Frank, DC (Frank Acupuncture & Chiropractic Clinic)
• Darla Peacock
• Sherry Penrod, RN
• Melissa A Pifer, MD
• Michael B. Pinter, D.D.S.
• Najwa Amera Pitts, CDCA
• Podiatric Associates of Northwest Ohio, Inc.
• Michael J Pole, M.D.

• Clinical Social Worker in Wauseon, OH
• Providers in Wauseon, 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 Aug 20, 2007; 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.