Individual provider Active NPI

Alexandra Sandoval, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1760031249
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16661 Issued in OR
Practice address
8555 SW Apple Way Ste 320
Portland, OR 97225-1775
Phone
(877) 840-6956
NPI assigned
Sep 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.021586 IL
Clinical Social Worker 1041C0700X 107133 CA
Clinical Social Worker 1041C0700X L16661 OR Primary

Addresses

Primary practice location

8555 SW Apple Way Ste 320
Portland, OR 97225-1775

Mailing address

9426 N Edison St Apt 2
Portland, OR 97203-2900
Phone (773) 379-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 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
I20250911002479 OR Practitioner - Clinical Social Worker 7214361609 Reassigns benefits to 1 organization
I20260428002923 CA Practitioner - Clinical Social Worker 7214361609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

Practice addresses (Care Compare)

8555 SW Apple Way
Suite 320
Portland, OR 97225-1775
Phone (877) 840-6956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107133CAMDClinical Social Worker
149.021586ILMDClinical Social Worker
L16661ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Clinical CurrentSince Aug 25, 2025 Accepting new patients
Sokyahealth Medical Group PC Clinical Past Accepting new patients

Locations

700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559

8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 298-4592

Interoperability endpoints

  • Direct secure messaging: alexandra.sandoval.p1@direct.sokya.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1760031249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 N EDISON ST APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032900",
            "telephone_number": "773-379-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 SW APPLE WAY STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251775",
            "telephone_number": "877-840-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021586",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107133",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.