Sandra Lee Lovely, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001600A Issued in IN

Practice address

6910 N Main St
Unit 5 Building 12
Granger, IN 46530-9680

Phone

(574) 271-3565

NPI assigned

Mar 19, 2007

Last updated

Sep 22, 2014By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1831214105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 ROBB ST",
            "address_2": "SUITE 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332184",
            "telephone_number": "303-278-7418",
            "fax_number": "888-341-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST",
            "address_2": "UNIT 5 BUILDING 12",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309680",
            "telephone_number": "574-271-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELY",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001600A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12734006",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "34001600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridgette Nicole Leroy, DNP, FNP-BC
• Roxanne Lewellen
• Kelli Lo, LSW
• Longenecker
• Manuel Lopez, DDS
• Julie Amber Lovisa, RD, CD
• Lum Brain, LLC
• Lum Granger, LLC
• Lum Kids, LLC (TMJ Amd)
• Luminary Hospice of South Bend, LLC (Luminary Hospice)

• Clinical Social Worker in Granger, IN
• Providers in Granger, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.