Sandra Dawn Seebeck, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2351 Issued in NH

Practice address

497 Hooksett Rd # 363
Manchester, NH 03104-2698

Phone

(603) 945-0865

Fax

(603) 782-9328

NPI assigned

Jun 12, 2020

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

Other names 1

• Sandra Dawn Sauvan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fourth Space Wellness, P.L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, NH
  • NPI 1811872807
  NPD Authorized official
• Riverbend Community Mental Health, Inc

  • Behavior Analyst
  • Concord, NH
  • NPI 1154800597
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1174148407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 HOOKSETT RD # 363",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042698",
            "telephone_number": "603-945-0865",
            "fax_number": "603-782-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 HOOKSETT RD # 363",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042698",
            "telephone_number": "603-945-0865",
            "fax_number": "603-782-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEBECK",
        "first_name": "SANDRA",
        "middle_name": "DAWN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SAUVAN",
            "middle_name": "DAWN",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Virginia Scully, MED
• Zaiga Rumbens Sears, D.O.
• Jake Robert Seccareccio
• Paula M Sechelaru, MS
• See Your Best Eye Care PLLC
• Bonnie L Seekamp
• Michael Seeley
• Richard Barry Segal, MA
• Bernadette Seifert
• Marilyn Selfridge, MA

• Clinical Social Worker in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.