Nicolas Tyrell Sanders, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09930349 Issued in CO

Practice address

11659 E 25TH Dr Unit 3306
Aurora, CO 80010-1392

Phone

(504) 351-6256

NPI assigned

May 16, 2018

Sex

Male

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mount St. Vincent Home

  • Adolescent and Children Mental Health Clinic/Center
  • Denver, CO
  • NPI 1801900238
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1154811933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11659 E 25TH DR UNIT 3306",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101392",
            "telephone_number": "504-351-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11659 E 25TH DR UNIT 3306",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101392",
            "telephone_number": "504-351-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "NICOLAS",
        "middle_name": "TYRELL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09930349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanders & Loe, D.D.S., P.C.
• Britney Sanders
• Jessica Solomon Sanders, MD
• Julia Skye Sanders, M.D.
• Michelle Lee Sanders
• Nikki Sanders, RN
• Quentin Sanders
• Rachel Reid Sanders, MD
• Reeve Lewis Sanders
• Sarah Elizabeth Sanders, LPC

• Clinical Social Worker in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.