Brook Jennifer Sandler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801081192 Issued in MI

Practice address

2712 Glencroft Rd
Vienna, VA 22181-5318

Phone

(703) 319-2034

NPI assigned

Aug 6, 2010

Last updated

Aug 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1548574163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 GLENCROFT RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815318",
            "telephone_number": "703-319-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 GLENCROFT RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815318",
            "telephone_number": "703-319-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "BROOK",
        "middle_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5274",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Samaha, MS CCC-SLP
• Samir Khouri, MD PC
• Cindy Sample, PHD
• Ardalan Sanati, DDS
• Rinku Mehra Sandesara, MD
• Archana Sangha, PA-C
• Divya R Sankepally, DDS
• Abbaa Sarhan, M.D.
• Ali Sarshar
• Susan Sasner, RNP

• Clinical Social Worker in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.