Sandra Anne Tica, MSW, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R080156-1 Issued in NY

Practice address

3 Burgess Street # 921
Croton Falls, NY 10519-0921

Phone

(201) 290-7056

Fax

(888) 972-5017

NPI assigned

Sep 22, 2008

Last updated

Oct 29, 2024By 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 NY

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, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Putnam Family and Community Services Inc

  dba CoveCare Center

  • Mental Illness Community Based Residential Treatment Facility
  • Carmel, NY
  • NPI 1972458545
  NPD (past)

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1841440336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BURGESS ST # 921",
            "city": "CROTON FALLS",
            "state": "NY",
            "postal_code": "105197020",
            "telephone_number": "201-290-7056",
            "fax_number": "888-972-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BURGESS STREET # 921",
            "city": "CROTON FALLS",
            "state": "NY",
            "postal_code": "105190921",
            "telephone_number": "201-290-7056",
            "fax_number": "888-972-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICA",
        "first_name": "SANDRA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R080156-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolyn Prisciandaro, MA,CCC-SLP
• Randi Rothschild, LCSW
• Sarah Grace Rudney-Leiva, MS, OTR/L
• Ralph Rudolph, DDS
• Veronica Ann Smith, PT
• David Mauricio Vidaurre, LCSW
• Kaitlyn Willsey

• Clinical Social Worker in Croton Falls, NY
• Providers in Croton Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.