Individual provider Active NPI

Gina K. Sandlin, MSW

  • Clinical Social Worker
  • Batesville, IN
National Provider Identifier
1306909700
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005745A Issued in IN
Practice address
981 State Road 46 East
Suite D
Batesville, IN 47006-1253
Phone
(812) 933-1820
Fax
(812) 932-1820
NPI assigned
Dec 18, 2006
Last updated
Jul 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005745A IN Primary

Addresses

Primary practice location

981 State Road 46 East
Suite D
Batesville, IN 47006-1253

Mailing address

981 State Road 46 East
Suite D
Batesville, IN 47006-1253
Phone (812) 933-1820

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34005745AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Counseling, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1306909700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 STATE ROAD 46 EAST",
            "address_2": "SUITE D",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470061253",
            "telephone_number": "812-933-1820",
            "fax_number": "812-932-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 STATE ROAD 46 EAST",
            "address_2": "SUITE D",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470061253",
            "telephone_number": "812-933-1820",
            "fax_number": "812-932-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "GINA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005745A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.