Charmayne N Sandoval, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. Her current practice location is
110 E Routt Ave, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 543-8711.
Charmayne N Sandoval is licensed to practice in Colorado (license number CSW.09923811) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215221320.
Healthcare Provider's Profile
| Full Name | Charmayne N Sandoval |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 110 E Routt Ave, Pueblo, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charmayne N Sandoval attended and graduated from in
NPI Data:
- NPI Number: 1215221320
- Provider Enumeration Date: 06/06/2011
- Last Update Date: 07/20/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charmayne N Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215221320 | NPI | - | NPPES |
| 61502723 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | CSW.09923811 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09923811 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charmayne N Sandoval is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charmayne N Sandoval, LCSW
300 Colorado Ave,
Pueblo, CO 81004-2006
Ph: (719) 543-8711 | Charmayne N Sandoval, LCSW
110 E Routt Ave,
Pueblo, CO 81004-2117
Ph: (719) 543-8711 |
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