Stephen Sander, LMSW
Individual provider Active NPI Social Worker · Weston, CT
NPI 1962719260 · NPPES record last updated Sep 8, 2010
Key facts
- NPI
- 1962719260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 081817-1 (NY)
- Practice address
- 20 Broad St
Weston, CT 06883-2911 - Phone
- (203) 221-7869
- NPI assigned
- Sep 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081817-1 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 081817-1 | NY | Yes |
Addresses
Primary practice location
20 Broad St
Weston, CT 06883-2911
Mailing address
20 Broad St
Weston, CT 06883-2911
Phone (203) 221-7869
Other providers in Weston, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.