Sandra S Champa LCSW Cap LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L15000068881 Issued in FL

Legal business name

SANDRA S CHAMPA LCSW CAP LLC

Practice address

5700 Lake Worth Rd
Suite 209-5
Greenacres, FL 33463-4727

Phone

(561) 929-3792

Fax

(561) 265-1349

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Sandra S Champa, LCSWNPI 1790165470

Title

Owner

Phone

(561) 929-3792

Specialties & licenses 1

Addresses

Tax ID family

Sandra Champa LCSW2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sandra S Champa LCSW Cap LLC

  dba sandra champa lcsw

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1356758536
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Champa, LCSW

  • Clinical Social Worker
  • Greenacres, FL
  • NPI 1790165470
  NPD Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1750760526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "SUITE 209-5",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-929-3792",
            "fax_number": "561-265-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "SUITE 209-5",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-929-3792",
            "fax_number": "561-265-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA S CHAMPA LCSW CAP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "CHAMPA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-929-3792",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "L15000068881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Salomon, MS
• Wendy L Samuels
• Sana Home Care Services LLC
• Fanny Sanabria
• Jessica Sanchez, DDS
• Kellie Nicole Santicerma
• Harold Santiso Laureiro
• Stephanie Santoro, M.S.W.
• Jessica Santos Crespo
• Arianna Santos Diaz

• Clinical Social Worker in Greenacres, FL
• Providers in Greenacres, 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 May 26, 2015; 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.