Active NPI
Patrick Sandoval
- Social Worker
- Lansing, MI
National Provider Identifier
1629467691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801097353
- Practice address
- 2223 Wellesley Dr
Lansing, MI 48911-1608 - Phone
- (517) 798-0460
- NPI assigned
- Jan 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801097353 | MI | Primary |
Addresses
Primary practice location
2223 Wellesley Dr
Lansing, MI 48911-1608
Mailing address
2223 Wellesley Dr
Lansing, MI 48911-1608
Other practice location 1
812 E Jolly Rd
Lansing, MI 48910-6818
Phone (517) 346-8460
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1629467691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 WELLESLEY DR",
"city": "LANSING",
"state": "MI",
"postal_code": "489111608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 WELLESLEY DR",
"city": "LANSING",
"state": "MI",
"postal_code": "489111608",
"telephone_number": "517-798-0460"
}
],
"practiceLocations": [
{
"address_1": "812 E Jolly Rd",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489106818",
"country_code": "US",
"telephone_number": "517-346-8460",
"fax_number": "517-272-0268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL",
"first_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-14",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801097353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.