Individual provider Active NPI

Sandra M. Gerardo, LCSW

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1649422312
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09926908 Issued in CO
Practice address
1600 Iron Horse Dr Apt G301
Longmont, CO 80501-5721
Phone
(832) 922-8831
NPI assigned
Oct 14, 2008
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 37782 TX
Clinical Social Worker 1041C0700X 09926908 CO Primary

Addresses

Primary practice location

1600 Iron Horse Dr Apt G301
Longmont, CO 80501-5721

Mailing address

1600 Iron Horse Dr Apt G301
Longmont, CO 80501-5721
Phone (832) 922-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200924001770 CO Practitioner - Clinical Social Worker 4082033006 Reassigns benefits to 1 organization
Practice locations: Longmont, CO
I20251118004675 NC Practitioner - Clinical Social Worker 4082033006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians
Brightside Medical of New Jersey PCGroup PAC ID 5799141750, 61 clinicians

Practice addresses (Care Compare)

1630 Dry Creek Dr
Suite 100B
Longmont, CO 80503-6405
Phone (970) 310-3406

3064 Wake Forest Rd
Suite 1271
Raleigh, NC 27609-7844
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09926908COMDClinical Social Worker
37782TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Sep 1, 2023 Accepting new patients
Heart Centered Counseling, PC Clinical CurrentSince Sep 1, 2023 Accepting new patients
Brightside Medical of New Jersey, P.C. CurrentSince Oct 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

1630 Dry Creek Dr
Ste 100-B
Longmont, CO 80503
Phone (913) 244-3563

3064 Wake Forest Rd
Raleigh, NC 27609
Phone (415) 360-3345

Interoperability endpoints

  • Direct secure messaging: sandragerardo@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1649422312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 IRON HORSE DR APT G301",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015721",
            "telephone_number": "832-922-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 IRON HORSE DR APT G301",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015721",
            "telephone_number": "832-922-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARDO",
        "first_name": "SANDRA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2023-08-16",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "37782",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.