Individual provider Active NPI

Sandra J Duncan, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1437443470
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16223 Issued in CA
Practice address
2350 W Shaw Ave Ste 142
Fresno, CA 93711-3412
Phone
(559) 447-3333
NPI assigned
Jun 7, 2011
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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 16223 CA Primary

Addresses

Primary practice location

2350 W Shaw Ave Ste 142
Fresno, CA 93711-3412

Mailing address

7676 N Carnegie Ave
Fresno, CA 93722-2230
Phone (559) 277-1056

Other practice location 1

7300 N Fresno St
Fresno, CA 93720-2941
Phone (559) 448-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16223CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Infant of Prague Adoption Service Clinical 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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1437443470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 N CARNEGIE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222230",
            "telephone_number": "559-277-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W SHAW AVE STE 142",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113412",
            "telephone_number": "559-447-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202941",
            "country_code": "US",
            "telephone_number": "559-448-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "16223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.