Sandberg Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SANDBERG COUNSELING LLC

Practice address

118 E Jefferson St
Viroqua, WI 54665-1613

Phone

(608) 632-3286

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Mark David Sandberg, MSW, LCSWNPI 1316486731

Title

Owner/Therapist

Phone

(608) 632-3286

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Sandberg

  • Clinical Social Worker
  • Viroqua, WI
  • NPI 1316486731

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1538674775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546650011",
            "telephone_number": "608-632-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E JEFFERSON ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651613",
            "telephone_number": "608-632-3286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 N Beaumont Rd",
            "address_purpose": "LOCATION",
            "city": "Prairie Du Chien",
            "state": "WI",
            "postal_code": "538211445",
            "country_code": "US",
            "telephone_number": "608-326-0248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDBERG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "SANDBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "608-632-3286",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Robinson
• Jennifer Rae Robson, PHARMD
• Kali Roesler, COTA
• Carol Elizabeth Rohr, RN
• Colleen Clarice Ruebsamen, OTR, CHT
• Mark Sandberg
• Dean B Saner, PSYD
• Scenic Bluffs Health Center, Inc
• Scenic Bluffs Health Center, Inc (Scenic Bluffs Community Health Centers)
• Jeffrey P Scheidt, CRNA

• Clinical Social Worker in Viroqua, WI
• Providers in Viroqua, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.