Two Pines Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8831-123 Issued in WI

Legal business name

TWO PINES COUNSELING LLC

Practice address

3970 N Oakland Ave Ste 502
Milwaukee, WI 53211-2265

Phone

(414) 533-7584

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Andrea K Sandora, LCSWNPI 1639358112

Title

Licensed Clinical Social Worker

Phone

(414) 533-7584

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Karen Sandora, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1639358112
  NPD Authorized official

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1043704638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6048 N KENT AVE",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532174644",
            "telephone_number": "415-810-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE STE 502",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-533-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO PINES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "SANDORA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "414-533-7584",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8831-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.