Organization Active NPI

Deshea Sandles, LCSW, LLC

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1144944653
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DESHEA SANDLES, LCSW, LLC
Practice address
3122 Mahan Dr Ste 801-203
Tallahassee, FL 32308-2500
Phone
(850) 901-0789
NPI assigned
Sep 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Deshea Sandles, LCSWNPI 1851649586
Title
Licensed Clinical Social Worker/Own
Phone
(850) 459-3155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3122 Mahan Dr Ste 801-203
Tallahassee, FL 32308-2500

Mailing address

3122 Mahan Dr Ste 801-203
Tallahassee, FL 32308-2500
Phone (850) 901-0789

Other identifiers 1

IdentifierTypeStateIssuer
FLOtherNA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Direct Direct
CONNECT URL /therapists/deshea-sandles?ref=advekit

National Provider Directory

National Provider Directory

Locations

3122 Mahan Dr
Ste 801203
Tallahassee, FL 32308
Phone (850) 901-0789

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1144944653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 MAHAN DR STE 801-203",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323082500",
            "telephone_number": "850-901-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 MAHAN DR STE 801-203",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323082500",
            "telephone_number": "850-901-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESHEA SANDLES, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "SANDLES",
        "authorized_official_first_name": "DESHEA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/OWN",
        "authorized_official_telephone_number": "850-459-3155",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "FL",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "3122 Mahan Dr Ste 801-203",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323082500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "/therapists/deshea-sandles?ref=advekit",
            "affiliation": "N",
            "address_1": "3122 Mahan Dr Ste 801-203",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323082500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.