Sandia Marcellon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW16139 Issued in FL

Practice address

1324 NW 5TH Ave Apt 2
Fort Lauderdale, FL 33311-6052

Phone

(549) 380-0559

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1538629506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 NW 5TH AVE APT 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116052",
            "telephone_number": "549-380-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 NW 5TH AVE APT 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116052",
            "telephone_number": "549-380-0559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8395 W Oakland Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517301",
            "country_code": "US",
            "telephone_number": "561-404-1422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELLON",
        "first_name": "SANDIA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Ralph Marcadis
• Claudia Beatriz Marcano, MD
• Raquel Marcano
• Marcela D Murcia DMD PA
• Marcelle Abell-Rosen MD PA
• Ashley Marie Marcellus
• Magalie Marcellus, L.C.S.W.
• Rosemary Tetteh Marchal, PHARM D
• Jean C Marchand, APRN, MSN, PMHNP-BC
• Brianna Janette Marchegiani, CCC-SLP

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.