Eric A. Sanderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4028 Issued in OK

Practice address

6003 N Robinson Ave
Suite 104
Oklahoma City, OK 73118-7425

Phone

(405) 633-0155

Fax

(405) 721-1838

NPI assigned

Feb 25, 2009

Last updated

Dec 31, 2012By the provider in NPPES

Sex

Male

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

Enrolled in OK

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, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Action Concepts, Inc

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1780965194
  Medicare reassignment NPD Authorized official
• Oklahoma Brain Tumor Foundation

  • Case Management Agency
  • Oklahoma City, OK
  • NPI 1811202955
  NPD (past)

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1306086723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 N ROBINSON AVE",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187425",
            "telephone_number": "405-633-0155",
            "fax_number": "405-721-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 N ROBINSON AVE",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187425",
            "telephone_number": "405-633-0155",
            "fax_number": "405-721-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "ERIC",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Sanders, M.S. CCC-SLP
• Tasha Nichole Sanders, LMSW
• Tia Winona Malcolm- Sanders
• Tonya Lynette Sanders
• Zachary Farris Sanders, PA-C
• Mike Lynn Sanderson, PA-C
• Roy Sanderson, NP-C
• Aamir Hussain Sandhu
• Tavleen Sandhu, MD
• Zainab Sandhu

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.