Individual provider Active NPI

Maureen Cheney Sanders, LCSW

  • Clinical Social Worker
  • Palmdale, CA
National Provider Identifier
1437219425
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26318 Issued in CA
Practice address
39724 Makin Ave
Palmdale, CA 93551-2939
Phone
(323) 392-4583
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 26318 CA Primary

Addresses

Primary practice location

39724 Makin Ave
Palmdale, CA 93551-2939

Mailing address

39724 Makin Ave
Palmdale, CA 93551-2939
Phone (323) 392-4583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120430000778 CA Practitioner - Clinical Social Worker 8729240270 Practice locations: Palmdale, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

39724 Makin Ave
Palmdale, CA 93551-2939
Phone (661) 874-7851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26318CAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: sanders.maureen.004.0050924@cnhf.meditab.direct-ci.com
  • Direct secure messaging: sanders.maureen.002.0050924@cnhf.meditab.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1437219425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39724 MAKIN AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512939",
            "telephone_number": "323-392-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39724 MAKIN AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512939",
            "telephone_number": "323-392-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MAUREEN",
        "middle_name": "CHENEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.