Sandra Veronick, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4077 Issued in OR

Practice address

760 SW Madison Ave Ste 11B
Corvallis, OR 97333-4588

Phone

(541) 224-6603

Fax

(541) 981-5072

NPI assigned

Oct 17, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Act Beyond Pain, LLC

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1508216573
  NPD (past) Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1295924009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SW MADISON AVE STE 11B",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334588",
            "telephone_number": "541-224-6603",
            "fax_number": "541-981-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SW MADISON AVE STE 11B",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334588",
            "telephone_number": "541-224-6603",
            "fax_number": "541-981-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERONICK",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Ventura
• Tamlin McNeil Vereyken
• Lise Anne Verhoogen Odden, LPC (M.S.,M.A.)
• Robert Herman Verhoogen, M.D.
• Brady I Vernon
• Vertebrata Chiropractic, PC
• Jordan Vesper
• Sean P Vetter, OTR-L-CHT
• Chantelle Vian, EPDH
• Isabella Vickers Knight, M.A.

• Clinical Social Worker in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.