Diane Louise Sandoval, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

80894983506 Issued in UT

Practice address

741 E 9000 S Ste 100
Sandy, UT 84094-3086

Phone

(801) 759-3727

Fax

(803) 746-5713

NPI assigned

Mar 29, 2011

Last updated

Jul 25, 2024By 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

Other names 1

• Diane Louise Draper Other name

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1558650689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 W 13400 S # 423",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966919",
            "telephone_number": "770-833-5809",
            "fax_number": "803-746-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 E 9000 S STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943086",
            "telephone_number": "801-759-3727",
            "fax_number": "803-746-5713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 E 9000 S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840943089",
            "country_code": "US",
            "telephone_number": "801-759-3727",
            "fax_number": "803-746-5713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "80894983506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "DRAPER",
            "middle_name": "LOUISE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Seema Sandhu, MD
• Kim Dawn Sandrock, RN
• Sandy Center for Family and Cosemetic Dentistry
• Sandy City Corp (Sandy City Fire Department Ambulance)
• Sandy Dental Management (Alta Canyon Dental)
• Sandy Modern Dentistry, LLP

• Clinical Social Worker in Sandy, UT
• Providers in Sandy, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.