Jan M Sanford, LPC-MH, QMHP, LSWA is a
Social Worker based in Watertown, South Dakota. Jan M Sanford is licensed to practice in South Dakota (license number LSWA 2146) and her current practice location is
309 2nd Ave Se, Watertown, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 886-6321.
NPI number for Jan M Sanford is 1538211701 and her current mailing address is 309 2nd Ave Se, Watertown, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538211701.
Healthcare Provider's Profile
| Full Name | Jan M Sanford |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 309 2nd Ave Se, Watertown, South Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538211701
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jan M Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538211701 | NPI | - | NPPES |
| 154887500 | Medicaid | MN | |
| 20202 | Other | SD | SIOUX VALLEY HEALTH PLAN |
| 4997066 | Other | SD | BLUE CROSS BLUE SHEILD |
| 9173854 | Other | SD | DAKOTACARE |
| 11350 | Other | | MIDLANDS CHOICE |
| 46045 | Other | SD | AVERA HEALTH PLAN |
| 6575620 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LPC-MH 2087 (South Dakota) | Primary |
| 101YP2500X | Counselor - Professional | LPC-MH 2087 (South Dakota) | Primary |
| 104100000X | Social Worker | LSWA 2146 (South Dakota) | 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. Jan M Sanford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jan M Sanford, LPC-MH, QMHP, LSWA
309 2nd Ave Se,
Watertown, SD 57201-3621
Ph: (605) 886-6321 | Jan M Sanford, LPC-MH, QMHP, LSWA
309 2nd Ave Se,
Watertown, SD 57201-3621
Ph: (605) 886-6321 |
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