Sandra Anderson, LCSW
Individual provider Active NPI Mental Health Counselor · Arcadia, FL
NPI 1144672148 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1144672148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- SW14358 (FL)
- Practice address
- 725 N 12TH Ave
Arcadia, FL 34266-8752 - Phone
- (863) 494-1242
- Fax
- (863) 491-0466
- NPI assigned
- Jul 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170914003157 | FL | Practitioner - Clinical Social Worker | 7517231566 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14358 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current |
Accepting new patients | |
| Ace Behavioral Health LLC | Current |
Accepting new patients | |
| MCR Health, Inc. | Current |
Accepting new patients | |
| Dr Luisa Vega DNP LLC | Current |
Accepting new patients |
Locations
725 N 12th Ave
Arcadia, FL 34266
Phone (863) 494-1242
1044 E Brandon Blvd
Ste 12
Brandon, FL 33511
Phone (813) 403-4423
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (813) 880-7577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | SW14358 | FL | |
| Mental Health Counselor | 101YM0800X | SW14358 | FL | Yes |
Addresses
Primary practice location
725 N 12TH Ave
Arcadia, FL 34266-8752
Mailing address
700 8TH Ave W Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4000
Other providers in Arcadia, FL
- Juan Carlos Alonso Zabala
- Bassam Altajar
- Altajars'S Consultant, Inc
- Hector Alvarez
- Denise Anderson
- Antonio Anglero Jr.
- Anheim LLC
- Anthony J Spinella DPM PL
- Sophia V Antoine
- Deberly M Anzueto
All providers in Arcadia, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.