Individual provider Active NPI

Sandhya Shankar, LCSW,LMFT

  • Social Worker
  • San Jose, CA
National Provider Identifier
1790705580
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS12081 Issued in CA
Practice address
1885 The Alameda
Suite 131
San Jose, CA 95126-1744
Phone
(408) 248-6806
Fax
(408) 248-6828
NPI assigned
Jul 21, 2006
Last updated
Mar 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS12081 CA Primary

Addresses

Primary practice location

1885 The Alameda
Suite 131
San Jose, CA 95126-1744

Mailing address

1885 The Alameda
Suite 131
San Jose, CA 95126-1744
Phone (408) 248-6806

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130701000245 CA Practitioner - Clinical Social Worker 7911147632 Practice locations: Sunnyvale, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

877 W Fremont Ave
Suite K6
Sunnyvale, CA 94087-2319
Phone (408) 647-3160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS12081CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1790705580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 THE ALAMEDA",
            "address_2": "SUITE 131",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261744",
            "telephone_number": "408-248-6806",
            "fax_number": "408-248-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 THE ALAMEDA",
            "address_2": "SUITE 131",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261744",
            "telephone_number": "408-248-6806",
            "fax_number": "408-248-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "SANDHYA",
        "credential": "LCSW,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS12081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.