Sandra Radomski, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CW013931 Issued in PA

Practice address

306 Roosevelt Blvd
Ocean City, NJ 08226-1863

Phone

(215) 356-3478

NPI assigned

Oct 17, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1245429034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082260237",
            "telephone_number": "215-356-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ROOSEVELT BLVD",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082261863",
            "telephone_number": "215-356-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOMSKI",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW013931",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "SC13422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert L Porreca Jr., DDS
• Sara Pustizzi, CCC-SLP
• Jeanne W Quain, OTR
• Gary W Raab, D.O.
• Gerald F Raab, DDS
• Andrew James Reichert
• Sevdiye Ricketti
• Ilene T Rosenthal, OT
• Sigmond Stephen Rutkowski Jr., D.O.
• Judith B Ryder, APRN

• Mental Health Counselor in Ocean City, NJ
• Providers in Ocean City, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.