Karyn Sandhu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3437 Issued in OR

Practice address

19260 SW 65TH Ave Ste 340
Tualatin, OR 97062-5710

Phone

(503) 691-9777

NPI assigned

Jun 15, 2007

Reactivated

Jun 27, 2022

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)

Enrolled

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1104021682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE STE 340",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625710",
            "telephone_number": "503-691-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE STE 340",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625710",
            "telephone_number": "503-691-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19260 SW 65th Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970625710",
            "country_code": "US",
            "telephone_number": "503-691-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "KARYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "deactivation_date": "2010-03-29",
        "reactivation_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.