Sandy Support Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SANDY SUPPORT SERVICES LLC

Practice address

981 E Eau Gallie Blvd
Ste E 6000
Melbourne, FL 32937

Phone

(321) 270-8310

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Sandra DevoeNPI 1437561289

Title

LCSW/MGR

Phone

(321) 270-8310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Devoe, LCSW

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1437561289
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1538899273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 E EAU GALLIE BLVD",
            "address_2": "STE E 6000",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-270-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 E EAU GALLIE BLVD",
            "address_2": "STE E 6000",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-270-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "DEVOE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "LCSW/MGR",
        "authorized_official_telephone_number": "321-270-8310"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astrid Maria Sande, M.D.
• Andrew T Sander, PA-C
• Anette Marie Sandoval, ARNP, CNM
• Sandra Shrader, M.D. Dermatology LLC
• Kenneth C Sands, MD
• Aaniyah Sanford
• Nelson L Sang, MD
• Sangiv I Patel DDS PA
• Santamore Nicole LLC (Beyond Spectrum ABA Center)
• Deniece Santana

• Clinical Social Worker in Melbourne, FL
• Providers in Melbourne, 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 Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.