MRS. SUSAN GAIL SANDOCK


Address: 919 E Jefferson Blvd Ste 401, South Bend, IN 46617-3117
Phone: 5742874197

MRS. SUSAN GAIL SANDOCK (NPI# 1043622798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043622798
Entity Type Individual
Full Name MRS. SUSAN GAIL SANDOCK
Credential LCSW
Practice Address 919 E Jefferson Blvd Ste 401
South Bend
IN 46617-3117
Practice Telephone 5742874197
Mailing Telephone 5742874197
Enumeration Date 2014-05-29
Last Update Date 2014-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
34004026A IN Behavioral Health & Social Service Providers

Office Location

Street Address 919 E JEFFERSON BLVD STE 401
City SOUTH BEND
State IN
Zip Code 46617-3117

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1962709071 Doreen Danice Huddleston Social Worker 928 East Wayne St, Suit C, South Bend, IN 46617 2011-02-25
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1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
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1194937680 Sarah Elizabeth Redman Specialist/Technologist 53880 Carmichael Dr., South Bend, IN 46617 2007-05-04
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508330754 Emily Wynn Sussman Social Worker 227 N Dixie Way Ste 125, South Bend, IN 46637-3385 2019-01-21
1326414707 Patrice Ivory-butler Social Worker 1615 N Kenmore St, South Bend, IN 46628-4256 2015-08-19
1902248032 Melissa Ann Sluiter Social Worker 3901 Addison St, South Bend, IN 46614-2603 2013-07-17
1750642732 Rosemary Cox Social Worker 534 N Michigan St, South Bend, IN 46601-1032 2012-06-06
1760753909 Jody L. Hughes LLC Social Worker 202 S. Michigan St, Suite 875, South Bend, IN 46601-2021 2012-01-19
1538441571 Heidi Wringer, Lcsw Moving Forward Counseling Services Social Worker 227 N Dixie Way Ste 130, South Bend, IN 46637-3300 2011-09-15
1861788879 Lynne Walker Social Worker 315 W Jefferson Blvd, South Bend, IN 46601-1512 2011-06-28
1801192026 Wetzel Therapy Inc Social Worker 17903 State Road 23, Suite #3, South Bend, IN 46635-1642 2011-02-05
1659695542 Marianne V West Social Worker 219 N Dixie Way Ste 135, South Bend, IN 46637-3372 2010-03-21
1740432574 Amanda Jayne Quicksall Social Worker 611 Lincolnway W, South Bend, IN 46601 2008-10-10
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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