MR. MARVIN MATHIAS SANDIFER (NPI# 1194155887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194155887 |
| Entity Type | Individual |
| Full Name | MR. MARVIN MATHIAS SANDIFER |
| Credential | MSW, LCSW, LCAS |
| Practice Address |
5140 Dunstan Rd Greensboro NC 27405-9565 |
| Mailing Address |
Po Box 13890 Greensboro NC 27415-3890 |
| Practice Telephone | 3366213381 |
| Practice Fax Number | 3366217513 |
| Mailing Telephone | 3366213381 |
| Mailing Fax Number | 3366217513 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C007317 | NC | Behavioral Health & Social Service Providers |
| Street Address |
5140 DUNSTAN RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-9565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225007719 | Fellowship Hall, Inc. | Substance Abuse Rehabilitation Facility | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2006-03-16 |
| 1205436284 | Cyrus Kolar | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2020-10-28 |
| 1649627795 | Latimer Breck Alexander V | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2016-05-18 |
| 1952775017 | Crystal Vechlekar Blair | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2015-11-30 |
| 1477946960 | Michael Yow | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2015-03-09 |
| 1679965388 | Terri Spears | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2015-03-04 |
| 1609287408 | Mahala Motzny | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2014-05-14 |
| 1457780439 | Kelly Shelton Scaggs | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2013-11-11 |
| 1881822286 | Terry A Whitling | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2009-06-24 |
| 1487826061 | Jeremy Don Harrison | Psychiatry & Neurology | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2008-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877929 | Midge Spong | Social Worker | 1603 Regents Park Ln, Greensboro, NC 27455-0807 | 2020-10-08 |
| 1336755370 | Imari Jacoya Brower | Social Worker | 16 Summertree Ln Apt G, Greensboro, NC 27406-5635 | 2020-09-16 |
| 1447864947 | Kelsey Walker | Social Worker | 5 Oak Branch Dr Ste G, Greensboro, NC 27407-2157 | 2020-09-02 |
| 1225640469 | Madario Lampkins | Social Worker | 2311 W Cone Blvd Ste 223, Greensboro, NC 27408-4067 | 2020-08-19 |
| 1427669266 | Esmeralda Mendez | Social Worker | 16 Oak Branch Dr Ste A, Greensboro, NC 27407-2119 | 2020-08-14 |
| 1720605686 | Sheilagh Harrington | Social Worker | 308 Pomona Dr Ste Ab, Greensboro, NC 27407-1665 | 2020-06-26 |
| 1588289862 | Life Transitions Counseling, LLC | Social Worker | 1140 Westchester, Greensboro, GA 30642-3495 | 2020-06-11 |
| 1134758998 | Kirstin Cassell | Social Worker | 3403 Kenmore St, Greensboro, NC 27408-2907 | 2020-04-03 |
| 1609402866 | Susan Porter | Social Worker | 509 N Elam Ave Ste 3e, Greensboro, NC 27403-1129 | 2020-03-19 |
| 1851922454 | Chelsea Nicole Miller | Social Worker | 5509 W Friendly Ave Ste 104b, Greensboro, NC 27410-4211 | 2020-02-01 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on MR. MARVIN MATHIAS SANDIFER.
| 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.