Mark Tayler Sandvoss, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 7743 Issued in FL

Practice address

2901 W Oakland Park Blvd Ste A1
Oakland Park, FL 33311-1236

Phone

(850) 980-6470

NPI assigned

Jun 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• South Florida Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakland Park, FL
  • NPI 1689607830
  NPD (past)
• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD (past)

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1710248919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W OAKLAND PARK BLVD STE A1",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111236",
            "telephone_number": "954-931-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W OAKLAND PARK BLVD STE A1",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111236",
            "telephone_number": "850-980-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDVOSS",
        "first_name": "MARK",
        "middle_name": "TAYLER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrlande Saintil
• Samimi Oms, PLLC
• Soroush Samimi, DMD
• Aliona Sanchez Ruiz, FNP
• Jennifer Lynn Sandke, RN
• Trucha Sanon, NP
• Cynthia Ann Sanquini, MA
• Ariel Elise Santiago
• Michelle Elizabeth Santos, OTR
• Sara House 11

• Clinical Social Worker in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.