Active NPI
Kimberly Sandor
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1275321135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007754A
- Practice address
- 5715 Decatur Blvd
Indianapolis, IN 46241-9561 - Phone
- (317) 856-5201
- NPI assigned
- Apr 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34007754A | IN | Primary |
Addresses
Primary practice location
5715 Decatur Blvd
Indianapolis, IN 46241-9561
Mailing address
639 E 56TH St
Indianapolis, IN 46220-3133
Phone (574) 551-4176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1275321135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 E 56TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462203133",
"telephone_number": "574-551-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 DECATUR BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462419561",
"telephone_number": "317-856-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOR",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-29",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007754A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.