Charles W Sanders, PHD, EDS,MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34002652A Issued in IN

Practice address

5555 N Tacoma Ave
Ste 204
Indianapolis, IN 46220-3512

Phone

(317) 257-7434

Fax

(317) 221-7733

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanders and Associates LLCGroup PAC ID 6002982402, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

Practice roles

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.

• Sanders and Associates. LLC

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1225295447
  Medicare reassignment Care Compare group Authorized official
• Indiana Health Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carmel, IN
  • NPI 1356396295

  Clinical

  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1548245889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N TACOMA AVE",
            "address_2": "STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203512",
            "telephone_number": "317-257-7434",
            "fax_number": "317-221-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N TACOMA AVE",
            "address_2": "STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203512",
            "telephone_number": "317-257-7434",
            "fax_number": "317-221-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "PHD, EDS,MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34002652A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002652A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100381890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony L D Sanders, MD
• Benjamin Joseph Sanders, DO
• Breaanna Sanders, RBT
• Brian Joseph Sanders, DDS
• Brooklyn Kay Sanders
• Christopher Sanders, LMHC
• Daijanna Sanders, RBT
• Davetta Sanders
• Don B Sanders
• Edna Mae Sanders, MSW, LCSW

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.