Active NPI
Sandra Dee Majors, LCSW, CACIII,
- Clinical Social Worker
- Walsenburg, CO
National Provider Identifier
1891997672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09925864
- Practice address
- 926 Russell Street
Walsenburg, CO 81089 - Phone
- (719) 738-2386
- Fax
- (719) 738-1066
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACC.0006800 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6517 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09925864 | CO | Primary |
Addresses
Primary practice location
926 Russell Street
Walsenburg, CO 81089
Mailing address
41 Montebello Rd
Pueblo, CO 81001-1379
Phone (719) 545-2746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACC.0006800 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 6517 | CO | MD | Specialist |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pueblo, CO
- NPI 1033165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1891997672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MONTEBELLO RD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011379",
"telephone_number": "719-545-2746",
"fax_number": "719-545-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 RUSSELL STREET",
"city": "WALSENBURG",
"state": "CO",
"postal_code": "81089",
"telephone_number": "719-738-2386",
"fax_number": "719-738-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJORS",
"first_name": "SANDRA",
"middle_name": "DEE",
"name_prefix": "Ms.",
"credential": "LCSW, CACIII,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC.0006800",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "6517",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09925864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walsenburg, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.