Laura R. Sandberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6616-123 Issued in WI

Practice address

303 Pearl Ave
Suite C
Oshkosh, WI 54901-4774

Phone

(920) 233-4557

Fax

(920) 233-5644

NPI assigned

Apr 27, 2006

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 identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WI

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

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1093772865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549030679",
            "telephone_number": "920-233-4557",
            "fax_number": "920-233-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PEARL AVE",
            "address_2": "SUITE C",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014774",
            "telephone_number": "920-233-4557",
            "fax_number": "920-233-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "LAURA",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6616-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39779900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsandberg89238@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 Pearl Ave",
            "address_2": "Suite C",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549014774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "303 Pearl Ave",
            "address_2": "Suite C",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549014774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia E Salomon
• Nicole Salzer, PHARMD
• Kate E Salzsieder, RD
• Susan Sample, NP
• Virginia Y. Sanchez Moret, OTR
• Kristen Kuratnick Sandoe, M.S., D.O.
• Taymoor Sardar, PSY.D.
• Kelsey Sauer, LAT
• Tammy Sauld, RN
• Sawyer Creek Orthodontics

• Clinical Social Worker in Oshkosh, WI
• Providers in Oshkosh, 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 Dec 8, 2021; 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.