Individual provider Active NPI

Erica Priscilla Sandoval, LMSW

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1578818712
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085774-1 Issued in NY
Practice address
3945 Crescent St FL 3
Long Island City, NY 11101-3801
Phone
(917) 214-9848
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085774-1 NY Primary

Addresses

Primary practice location

3945 Crescent St FL 3
Long Island City, NY 11101-3801

Mailing address

3945 Crescent St FL 3
Long Island City, NY 11101-3801
Phone (917) 214-9848

Other practice location 1

4404 Queens Blvd
2ND Floor
Sunnyside, NY 11104-2406
Phone (718) 706-1663

Other practice location 2

3945 Crescent St Fl 3
Long Island City, NY 11101-3801
Phone (917) 214-9848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
085774-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandoval Psychotherapy Consultation LCSW PLLC Clinical CurrentSince May 25, 2025 Accepting new patients
Mental Health Providers of Western Queens, Inc. Past Accepting new patients

Locations

3945 Crescent St
Fl 3
Long Island City, NY 11101
Phone (917) 214-9848

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1578818712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 CRESCENT ST FL 3",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013801",
            "telephone_number": "917-214-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 CRESCENT ST FL 3",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013801",
            "telephone_number": "917-214-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4404 Queens Blvd",
            "address_2": "2ND Floor",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "NY",
            "postal_code": "111042406",
            "country_code": "US",
            "telephone_number": "718-706-1663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3945 Crescent St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111013801",
            "country_code": "US",
            "telephone_number": "917-214-9848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ERICA",
        "middle_name": "PRISCILLA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085774-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.