| Sandra A. Landers, Lcsw | |
|
2500 Bobcat Village Center Rd Unit F North Port FL 34288-8476 | |
| (954) 676-8860 | |
| (888) 821-8320 |
| Full Name | Sandra A. Landers, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 2500 Bobcat Village Center Rd Unit F, North Port, Florida |
| Authorized Official Name and Position | Sandra Anne Landers (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9546687689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra A. Landers, Lcsw Po Box 494081 Port Charlotte FL 33949-4080 Ph: (954) 668-7689 | Sandra A. Landers, Lcsw 2500 Bobcat Village Center Rd Unit F North Port FL 34288-8476 Ph: (954) 676-8860 |
| NPI Number | 1134219215 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Medicare PECOS PAC ID | 7517362155 |
|---|---|
| Medicare Enrollment ID | O20210820000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134219215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | SW 5153 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra A Landers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871770701 PECOS PAC ID: 5799775300 Enrollment ID: I20040515000265 |
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