Individual provider Active NPI

Sandra Madaris, LCSW

  • Clinical Social Worker
  • Columbus, GA
National Provider Identifier
1346796307
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004312 Issued in GA
Practice address
5700 Veterans Pkwy
Columbus, GA 31904-9093
Phone
(706) 221-3222
Fax
(706) 221-3282
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 CSW004312 GA Primary

Addresses

Primary practice location

5700 Veterans Pkwy
Columbus, GA 31904-9093

Mailing address

5700 Veterans Pkwy
Columbus, GA 31904-9093
Phone (706) 221-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20230601000190 GA Practitioner - Clinical Social Worker 1052652740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rivertown Psychiatry PCGroup PAC ID 1153575410, 27 clinicians

Practice addresses (Care Compare)

5700 Veterans Pkwy
Columbus, GA 31904-9093
Phone (706) 221-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling of Columbus @ TH Family Center of Columbus, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1346796307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049093",
            "telephone_number": "706-221-3222",
            "fax_number": "706-221-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049093",
            "telephone_number": "706-221-3222",
            "fax_number": "706-221-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADARIS",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.