Manuel Antonio Sandoval Sr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12675 Issued in CT

Practice address

19 Sexton St
New Britain, CT 06051-1017

Phone

(860) 916-0801

NPI assigned

Feb 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Tenacious Resilient Individual Living in Focused Energy Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Britain, CT
  • NPI 1104503879
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1437743903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SEXTON ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511017",
            "telephone_number": "860-916-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SEXTON ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511017",
            "telephone_number": "860-916-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazline M Sanchez, LMFT
• Nathalie Sanchez
• Amy Sandberg, LCSW
• Carol Sanderson
• Meaghan L Sanderson, L.O.
• Claudette Sands, MSW
• Milton Sands, MD
• Wilson Steven Sango, DO
• Maggie E Santacroce
• Yobielania Santana, LPC

• Clinical Social Worker in New Britain, CT
• Providers in New Britain, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.