Jill C Sandora

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005272 Issued in CT

Practice address

315 Flanders Rd
East Lyme, CT 06333-1711

Phone

(860) 235-5532

NPI assigned

Nov 1, 2006

Last updated

Jan 9, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1912084112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SCENIC VIEW DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851123",
            "telephone_number": "860-235-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331711",
            "telephone_number": "860-235-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDORA",
        "first_name": "JILL",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Rusnak, MD, PHD
• Patricia Ryone
• Kara Elizabeth Salazar, PHARMD
• Hailie Haewon Saldivar
• Sam-Car LLC (East Lyme Family & Cosmetic Dentistry)
• Fred E Santoro, M.D.
• Jessica Sedita-Gatto, N.D.
• Gerald L. Shaw, M.D.
• Kim Shepardson Watson, LCSW
• Shoreline Physical Therapy, LLC

• Clinical Social Worker in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.