Deshea Nicole Sandles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29427 Issued in MD

Practice address

1990 Village Green Way Ste 3
Tallahassee, FL 32308-3877

Phone

(850) 999-2140

Fax

(850) 999-2150

NPI assigned

Aug 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Deshea Sandles, LCSW, LLC

  • Clinical Social Worker
  • Tallahassee, FL
  • NPI 1144944653
  NPD Authorized official

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1851649586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 VILLAGE GREEN WAY STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083877",
            "telephone_number": "850-999-2140",
            "fax_number": "850-999-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 VILLAGE GREEN WAY STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083877",
            "telephone_number": "850-999-2140",
            "fax_number": "850-999-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-933-4853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDLES",
        "first_name": "DESHEA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10461",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "29427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013810900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaiann Sanders
• Stephanie Sanders
• Stevey Elyse Sanders, APRN, FNP-C
• Ryan Sanderson-Smith, MD
• Mary Sandler
• Sandra Jean Higham
• Madhuri Sankuratri, MD
• Lillian Alicia Sanpere, LM
• Lauren Elizabeth Santiesteban
• Melody Grace Santos, MD

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, 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 Jan 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.