Active NPI
Colleen Sandick, LCSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1083247787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005230
- Practice address
- 4935 Albemarle St NW
Washington, DC 20016-4359 - Phone
- (202) 770-0995
- NPI assigned
- Feb 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC200002232 | DC | |
| Clinical Social Worker | 1041C0700X | CSW005230 | GA | Primary |
Addresses
Primary practice location
4935 Albemarle St NW
Washington, DC 20016-4359
Mailing address
4935 Albemarle St NW
Washington, DC 20016-4359
Phone (202) 770-0995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 17, 2025 through Nov 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC200002232 | DC | MD | Clinical Social Worker |
| CSW005230 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1083247787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4935 ALBEMARLE ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164359",
"telephone_number": "202-770-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 ALBEMARLE ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164359",
"telephone_number": "202-770-0995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDICK",
"first_name": "COLLEEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC200002232",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.