Active NPI
Jamie Sanders, LGSW
- Clinical Social Worker
- Winona, MN
National Provider Identifier
1891277232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24190
- Practice address
- 51 East 4TH St Suite 307
Winona, MN 55987 - Phone
- (507) 313-4103
- NPI assigned
- Sep 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24190 | MN | Primary |
Addresses
Primary practice location
51 East 4TH St Suite 307
Winona, MN 55987
Mailing address
51 East 4TH St Suite 307
Winona, MN 55987
Phone (507) 313-4103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24190 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535760000000",
"number": "1891277232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 EAST 4TH ST SUITE 307",
"city": "WINONA",
"state": "MN",
"postal_code": "55987",
"telephone_number": "507-313-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 EAST 4TH ST SUITE 307",
"city": "WINONA",
"state": "MN",
"postal_code": "55987",
"telephone_number": "507-313-4103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JAMIE",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-01",
"last_updated": "2018-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "24190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.