Active NPIIndividual provider

Michelle Sanders, LCSW

Social Worker, Clinical in Staten Island, New York

NPI Number1366846354
Practice location
1749 Victory Blvd, Staten Island, NY 10314-3552
Fax
—
Last updated
November 25, 2025

Michelle Sanders is a Social Worker, Clinical based in Staten Island, NY. Michelle Sanders practices in Staten Island, NY and has the professional credentials of LCSW. The NPI Number for Michelle Sanders is 1366846354 and holds a License No. LC21756 (ME). The current practice location address for Michelle Sanders is 1749 Victory Blvd, Staten Island, NY 10314-3552 and can be reached out via phone at 718-764-8278.

Provider Profile Details

NPI Number
1366846354
Provider Name
Michelle Sanders
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1749 Victory Blvd, Staten Island, NY 10314-3552
Phone Number
718-764-8278
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2014
Last Update Date
November 25, 2025
Certification Date
November 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1749 Victory Blvd
Staten Island, NY 10314-3552
Zip
10314-3552
Phone Number
718-764-8278
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
110 Tandberg Trl
Windham, ME 04062-5206
City
Windham
State
ME
Zip
04062-5206
Phone Number
207-653-9349

License Information

License Number (1)
LC21756
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
092981-1
License State (2)
NY
Taxonomy (2)
Social Worker · 104100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle Sanders, LCSW?

The NPI number of Michelle Sanders, LCSW is 1366846354. It was assigned on October 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Michelle Sanders, LCSW?

Michelle Sanders, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC21756.

Where does Michelle Sanders, LCSW practice?

The practice location is 1749 Victory Blvd, Staten Island, NY 10314-3552. The office can be reached at 718-764-8278 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366846354 directly on the NPPES registry website.

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