Ms. Sandra A Theodor, LICSW
Social Worker, Clinical in Medford, Massachusetts
1891911749- Practice location
- 151 Mystic Ave, Ste 6, Dcs Mental Health INC., Medford, MA 02155-4632
- Phone
- 781-396-1199
- Fax
- —
- Last updated
- August 4, 2013
Sandra Ann Theodor is a Social Worker, Clinical based in Medford, MA. Sandra Ann Theodor practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Sandra Ann Theodor is 1891911749 and holds a License No. 1029070 (MA). The current practice location address for Sandra Ann Theodor is 151 Mystic Ave, Ste 6, Dcs Mental Health INC., Medford, MA 02155-4632 and can be reached out via phone at 781-396-1199.
Provider Profile Details
- NPI Number
- 1891911749
- Provider Name
- Sandra Ann Theodor
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 151 Mystic Ave, Ste 6, Dcs Mental Health INC., Medford, MA 02155-4632
- Phone Number
- 781-396-1199
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 18, 2007
- Last Update Date
- August 4, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Mystic Ave
Ste 6, Dcs Mental Health INC.
Medford, MA 02155-4632 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4632
- Phone Number
- 781-396-1199
Provider Business Mailing Address Details
- Address
- 46 Cranmore Ln
Melrose, MA 02176-1507 - City
- Melrose
- State
- MA
- Zip
- 02176-1507
- Phone Number
- 781-662-1185
License Information
- License Number
- 1029070
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Medford, MA
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Frequently Asked Questions
What is the NPI number of Ms. Sandra A Theodor, LICSW?
The NPI number of Ms. Sandra A Theodor, LICSW is 1891911749. It was assigned on April 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Sandra A Theodor, LICSW?
Ms. Sandra A Theodor, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1029070.
Where does Ms. Sandra A Theodor, LICSW practice?
The practice location is 151 Mystic Ave, Ste 6, Dcs Mental Health INC., Medford, MA 02155-4632. The office can be reached at 781-396-1199 (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 1891911749 directly on the NPPES registry website.