Resa Deanne Sandora, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007567A Issued in IN

Practice address

100 W Court Avenue Suite #203
Jeffersonville, IN 47130-3740

Phone

(502) 251-1555

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1851590178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99296",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402690296",
            "telephone_number": "407-285-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W COURT AVENUE SUITE #203",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303740",
            "telephone_number": "502-251-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDORA",
        "first_name": "RESA",
        "middle_name": "DEANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252373",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW006259",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007567A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Saltz, STUDENT HID
• Kelly Saltzgaber
• Steven Frederick Samuel, MD
• Samuel, Stewart & Associates, PSC
• Meghan Sanders
• Holly Marie Sapp, MSSW, LCAC
• Miriam Sargent, MSSW
• Starr Satterly
• Joseph R Sauer, M.D.
• Skyelyn Sauer

• Clinical Social Worker in Jeffersonville, IN
• Providers in Jeffersonville, 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 Apr 1, 2020; 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.