Active NPI
Deshea Sandles, LCSW, LLC
- Clinical Social Worker
- Tallahassee, FL
National Provider Identifier
1144944653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deshea Sandles, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FL | Other | NA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Direct | Direct | |
| CONNECT URL | /therapists/deshea-sandles?ref=advekit |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Tallahassee, FL
- NPI 1851649586
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.