Active NPI
Christian Augustine Sanders, LCSW, LMSW, LADAC
- Clinical Social Worker
- Cortez, CO
National Provider Identifier
1275860835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923921
- Practice address
- 691 E Empire St
Cortez, CO 81321-2802 - Phone
- (970) 565-7946
- NPI assigned
- Nov 3, 2009
- Last updated
- Mar 17, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 99-07-18 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0125511 | NM | |
| Social Worker | 104100000X | 13004 | AZ | |
| Clinical Social Worker | 1041C0700X | CSW.09923921 | CO | Primary |
Addresses
Primary practice location
691 E Empire St
Cortez, CO 81321-2802
Mailing address
PO Box 1346
Mancos, CO 81328-1346
Phone (970) 570-9933
Other practice location 1
167 North Main St.
Tuba City, AZ 86045-0600
Phone (928) 283-2501 ext. 2833
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0125511 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 13004 | AZ | MD | Social Worker |
| CSW.09923921 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1275860835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1346",
"city": "MANCOS",
"state": "CO",
"postal_code": "813281346",
"telephone_number": "970-570-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 E EMPIRE ST",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813212802",
"telephone_number": "970-565-7946"
}
],
"practiceLocations": [
{
"address_1": "167 North Main St.",
"address_purpose": "LOCATION",
"city": "Tuba City",
"state": "AZ",
"postal_code": "860450600",
"country_code": "US",
"telephone_number": "928-283-2501 x2833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "CHRISTIAN",
"middle_name": "AUGUSTINE",
"name_prefix": "Mrs.",
"credential": "LCSW, LMSW, LADAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "99-07-18",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0125511",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "13004",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.