Sandra Jennifer Carmichael, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Chesterton, IN
NPI 1750400313 · NPPES record last updated Jun 11, 2010
Key facts
- NPI
- 1750400313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34004838A (IN)
- Practice address
- 215 W Indiana Ave
Chesterton, IN 46304-2457 - Phone
- (219) 921-0705
- Fax
- (219) 921-0557
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004838A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duneland Counseling Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004838A | IN | Yes |
Addresses
Primary practice location
215 W Indiana Ave
Chesterton, IN 46304-2457
Mailing address
105 E Jefferson Blvd
Suite 800
South Bend, IN 46601-1922
Phone (574) 239-7021
Other names
- Mrs. Sandra J Carmichael-Calvert
Other providers in Chesterton, IN
- Carolyn Bunton-Knoll
- Nathan Tyler Bush
- Adrian Caguia
- Rachael E Callaway
- Ashley Nicole Campbell
- Kaitlyn Michele Carr
- Cartref Services, LLC
- Kimberly Elizabeth Chambers
- Cynthia Lynn Cheek
- Chesterton Family Dental
All providers in Chesterton, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.