Organization Active NPI

Sandra Demopoulos, Lcswr, PLLC

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1780339929
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SANDRA DEMOPOULOS, LCSWR, PLLC
Practice address
199 Main St
White Plains, NY 10601-3200
Phone
(914) 661-2680
Fax
(914) 948-3960
NPI assigned
Feb 16, 2022
Last updated
Apr 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Michele Firpo-Cappiello
Title
Admin Assistant
Phone
(914) 473-1892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

199 Main St
White Plains, NY 10601-3200

Mailing address

199 Main St
White Plains, NY 10601-3200
Phone (914) 661-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230403001132 NY Part B Supplier - Clinic/Group Practice 6002281193 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

199 Main St
Ste 601
White Plains, NY 10601
Phone (914) 378-3248

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1780339929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MAIN ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013200",
            "telephone_number": "914-661-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013200",
            "telephone_number": "914-661-2680",
            "fax_number": "914-948-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA DEMOPOULOS, LCSWR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "FIRPO-CAPPIELLO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "914-473-1892"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.