Active NPI
Debra Lyn Sandler, LCSW
- Clinical Social Worker
- Egg Harbor TWP, NJ
National Provider Identifier
1770646846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00188400
- Practice address
- 285 Pine Ave
Egg Harbor TWP, NJ 08234-7100 - Phone
- (609) 653-8850
- Fax
- (609) 601-1657
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00188400 | NJ | Primary |
Addresses
Primary practice location
285 Pine Ave
Egg Harbor TWP, NJ 08234-7100
Mailing address
285 Pine Ave
Egg Harbor TWP, NJ 08234-7100
Phone (609) 653-8850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190195 | Other | NJ | MHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770646846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 PINE AVE",
"city": "EGG HARBOR TWP",
"state": "NJ",
"postal_code": "082347100",
"telephone_number": "609-653-8850",
"fax_number": "609-601-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 PINE AVE",
"city": "EGG HARBOR TWP",
"state": "NJ",
"postal_code": "082347100",
"telephone_number": "609-653-8850",
"fax_number": "609-601-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLER",
"first_name": "DEBRA",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00188400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "190195",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.