Nancy Gould Sandman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101879 Issued in MA

Practice address

115 Sewall Ave
Apt 4
Brookline, MA 02446-5344

Phone

(617) 731-2707

Fax

(866) 808-5482

NPI assigned

Jul 18, 2005

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

Other names 1

• Nancy Gould Sandman Professional name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1942209374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SEWALL AVE",
            "address_2": "APT 4",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465344",
            "telephone_number": "617-731-2707",
            "fax_number": "866-808-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SEWALL AVE",
            "address_2": "APT 4",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465344",
            "telephone_number": "617-731-2707",
            "fax_number": "866-808-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDMAN",
        "first_name": "NANCY",
        "middle_name": "GOULD",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SANDMAN",
            "middle_name": "GOULD",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chana Sandberg
• Rona Sandberg, LICSW
• Liana Sandell, MSW
• Robert G Sanderson, M.A.
• Judith Marie Sanditen, PSY. D.
• Luis Roberto Sandoval
• Linda T Sanford, LICSW
• Delia Nai-Yueh Sang, MD
• Erica Sanieoff
• Lyanne Marie Santana Khoury, MD

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.