Canisha Tandalaya Sanders, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1845 Grandstand PL
Elgin, IL 60123-6603

Phone

(847) 695-0484

NPI assigned

Oct 9, 2015

Last updated

May 28, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1053563007
  NPD (past)
• Association for Individual Development

  dba AID - Administration

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1821151119
  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1215308739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236603",
            "telephone_number": "847-695-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236603",
            "telephone_number": "847-695-0484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 East New Indian Trail",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605051600",
            "country_code": "US",
            "telephone_number": "630-966-4290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CANISHA",
        "middle_name": "TANDALAYA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams West Inc (Sams Pharmacy)
• Rosario I Sanchez Prinicipe
• Adriel Edgardo Sanchez, DMD
• Alex Aurelio Sanchez, M.D.
• Jesus Emanuel Sanchez
• Tracy Ann Sanders
• Daphne Sandouka, ED.D., LCPC
• Jannet Rose Sanmiguel
• Lata Santa Ines, MD
• Jennifer Santacaterina, PA-C

• Social Worker in Elgin, IL
• Providers in Elgin, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.