Susan E Sandholm, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3200 Grant St
Evanston, IL 60201-1903

Phone

(847) 866-1645

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By 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

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225245756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 GREEN BAY RD",
            "address_2": "APT 402",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913359",
            "telephone_number": "847-920-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GRANT ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011903",
            "telephone_number": "847-866-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHOLM",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Virginia Sances, PSY.D.
• Courtney Aspen Sanchez, MD
• Marian Erika Sanchez
• Keri Sandberg, RDH
• Alan R Sanders, MD
• Junaid Khan Sandozi, MD
• Subramanyam Santhanam, MD
• Brigid Ann Santino, PT, DPT
• Joshua Santucci, MD
• Lina Sapiegiene, MD

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.