Jill C Sandora
Social Worker, Clinical in East Lyme, Connecticut
1912084112- Practice location
- 315 Flanders RD, East Lyme, CT 06333-1711
- Phone
- 860-235-5532
- Fax
- —
- Last updated
- January 9, 2023
Jill C Sandora is a Social Worker, Clinical based in East Lyme, CT. Jill C Sandora practices in East Lyme, CT. The NPI Number for Jill C Sandora is 1912084112 and holds a License No. 005272 (CT). The current practice location address for Jill C Sandora is 315 Flanders RD, East Lyme, CT 06333-1711 and can be reached out via phone at 860-235-5532.
Provider Profile Details
- NPI Number
- 1912084112
- Provider Name
- Jill C Sandora
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 315 Flanders RD, East Lyme, CT 06333-1711
- Phone Number
- 860-235-5532
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- January 9, 2023
- Certification Date
- January 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 315 Flanders RD
East Lyme, CT 06333-1711 - City
- East Lyme
- State
- Connecticut
- Zip
- 06333-1711
- Phone Number
- 860-235-5532
Provider Business Mailing Address Details
- Address
- 23 Scenic View Dr
Waterford, CT 06385-1123 - City
- Waterford
- State
- CT
- Zip
- 06385-1123
- Phone Number
- 860-235-5532
License Information
- License Number
- 005272
- License State
- CT
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Jill C Sandora?
The NPI number of Jill C Sandora is 1912084112. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Jill C Sandora?
Jill C Sandora is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005272.
Where does Jill C Sandora practice?
The practice location is 315 Flanders RD, East Lyme, CT 06333-1711. The office can be reached at 860-235-5532 (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 1912084112 directly on the NPPES registry website.