Active NPI
Anthony P Sandilla, LCSW
- Clinical Social Worker
- Valparaiso, IN
National Provider Identifier
1639433204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34003911A
- Practice address
- 1200 Lake Superior Rd Apt 304
Valparaiso, IN 46383-6743 - Phone
- (219) 240-5533
- Fax
- (219) 533-4223
- NPI assigned
- Jun 28, 2012
- Last updated
- Jan 10, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003911A | IN | Primary |
Addresses
Primary practice location
1200 Lake Superior Rd Apt 304
Valparaiso, IN 46383-6743
Mailing address
1200 Lake Superior Rd Apt 304
Valparaiso, IN 46383-6743
Phone (219) 240-5533
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003911A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities | Past | Accepting new patients | |
| Anthony Sandilla, LCSW, LLC | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Valparaiso, IN
- NPI 1689584575
-
- Community/Behavioral Health Agency
- Michigan City, IN
- NPI 1275795262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768003200000",
"number": "1639433204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 LAKE SUPERIOR RD APT 304",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463836743",
"telephone_number": "219-240-5533",
"fax_number": "219-533-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 LAKE SUPERIOR RD APT 304",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463836743",
"telephone_number": "219-240-5533",
"fax_number": "219-533-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDILLA",
"first_name": "ANTHONY",
"middle_name": "P",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-28",
"last_updated": "2026-01-10",
"certification_date": "2026-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003911A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.