Individual provider Active NPI

Sandra Paula Kaufman, LCSW-C

  • Genetic Counselor (M.S.)
  • Rockville, MD
National Provider Identifier
1982845780
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
05937 Issued in MD
Practice address
50 W Montgomery Ave
Suite 110
Rockville, MD 20850-4216
Phone
(301) 251-8965
Fax
(301) 251-0136
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 05937 MD Primary

Addresses

Primary practice location

50 W Montgomery Ave
Suite 110
Rockville, MD 20850-4216

Mailing address

50 W Montgomery Ave
Suite 110
Rockville, MD 20850-4216
Phone (301) 251-8965

Other names 1

  • Miss Sandra Paula Tzodikov Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1982845780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W MONTGOMERY AVE",
            "address_2": "SUITE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504216",
            "telephone_number": "301-251-8965",
            "fax_number": "301-251-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MONTGOMERY AVE",
            "address_2": "SUITE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504216",
            "telephone_number": "301-251-8965",
            "fax_number": "301-251-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "SANDRA",
        "middle_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MD",
            "license": "05937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "TZODIKOV",
            "middle_name": "PAULA",
            "prefix": "MISS",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.