Sandra Champa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8305 Issued in FL

Practice address

5700 Lake Worth Rd Ste 209-5
Greenacres, FL 33463-3270

Phone

(561) 929-3792

Fax

(561) 265-1349

NPI assigned

Jun 8, 2015

Last updated

Jun 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandra S Champa LCSW Cap LLC

  • Clinical Social Worker
  • Greenacres, FL
  • NPI 1750760526
  NPD Authorized official
• Sandra S Champa LCSW Cap LLC

  dba sandra champa lcsw

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1356758536
  Medicare reassignment
• Professional Associates for Therapy & Testing Services Inc

  • Clinical Psychologist
  • Sunrise, FL
  • NPI 1134148117
  NPD

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1790165470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 209-5",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633270",
            "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 STE 209-5",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633270",
            "telephone_number": "561-929-3792",
            "fax_number": "561-265-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPA",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Advance Cardiovascular Medicine, PLLC
• Center for Psychological and Forensic Services
• Center for Trauma Counseling, Inc.
• Thomas C Centinaro Jr., MSW
• Certified Spine and Pain Care LLC
• Amanda Champion, M. ED
• Miguel A Chang
• Steven C Chang, M.D.
• Laura Chapelin
• Sherlie Charlot, ADVANCED PRACTICE RE

• 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 Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.