Linda Sanderville, MSW, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10250 Issued in NM

Practice address

4600 Paradise Blvd NW Unit 66884
Albuquerque, NM 87193-4978

Phone

(505) 317-7444

Fax

(505) 461-1456

NPI assigned

Apr 19, 2016

Last updated

Apr 4, 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 5

Addresses

Other names 1

• Linda Pepera Former 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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1700230570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 PARADISE BLVD NW UNIT 66884",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871934978",
            "telephone_number": "505-317-7444",
            "fax_number": "505-461-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 PARADISE BLVD NW UNIT 66884",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871934978",
            "telephone_number": "505-317-7444",
            "fax_number": "505-461-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERVILLE",
        "first_name": "LINDA",
        "credential": "MSW, LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011329",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079629",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15358",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "PEPERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roneesha Sanders
• Samuel J Sanders, PT, DPT
• Lisa Sanderson
• Michelle Sanderson, LPCC
• Stephanie Rae Sanderson, CNS
• Melissa Ann Sandford
• Angad Sandhu
• Baljinder S Sandhu, MD
• Sandi's Smiles for Miles
• Sandia Autism Services LLC

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.