Individual provider Active NPI

Sandra C Sawyer, MSW LICSW

  • Social Worker
  • East Dennis, MA
National Provider Identifier
1366592107
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106091 Issued in MA
Practice address
1070 RT 134
East Dennis, MA 02641
Phone
(508) 385-7474
Fax
(508) 385-1848
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106091 MA Primary

Addresses

Primary practice location

1070 RT 134
East Dennis, MA 02641

Mailing address

PO Box 356
East Dennis, MA 02641
Phone (508) 385-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051013000838 MA Practitioner - Clinical Social Worker 6800811225 Practice locations: East Dennis, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1070 Route 134
Woodside PK Off BLDG
East Dennis, MA 02641-0356
Phone (508) 385-7474

PO Box
Suite 356
East Dennis, MA 02641-0356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366592107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "EAST DENNIS",
            "state": "MA",
            "postal_code": "02641",
            "telephone_number": "508-385-7474",
            "fax_number": "508-385-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 RT 134",
            "city": "EAST DENNIS",
            "state": "MA",
            "postal_code": "02641",
            "telephone_number": "508-385-7474",
            "fax_number": "508-385-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "SANDRA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "106091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Dennis, MA

Sources for this page

Verify at the official NPI Registry.