MS. ELLEN M SANDOVAL LICSW, EDM
NPI 1083106801
Social Worker - Clinical in Boston, MA

Active since June 06, 2018
53 PARKER HILL AVE, BOSTON, MA 02120(617) 278-4251 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Ellen M Sandoval Licsw, Edm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELLEN M SANDOVAL LICSW, EDM (NPI 1083106801) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (117846) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1083106801
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ELLEN M SANDOVALCredential: LICSW, EDM
Location Address53 PARKER HILL AVEBoston, MA 02120-3225
Mailing Address182 Kittredge St Apt ABoston, MA 02131-4114
Sole ProprietorYes
Enumeration DateJune 6, 2018
NPI 1083106801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 117846
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.

53 PARKER HILL AVE, Boston, MA 02120

Other Names 1

Former Name (1)Ellen M Maynard

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
53 PARKER HILL AVE
ROXBURY, MA 02120
Social Worker
53 PARKER HILL AVE
BOSTON, MA 02120
Psychologist
53 PARKER HILL AVE
BOSTON, MA 02120
Psychologist (Clinical Child & Adolescent)
53 PARKER HILL AVE
ROXBURY CROSSING, MA 02120
Counselor (Mental Health)
53 PARKER HILL AVE
BOSTON, MA 02120
Counselor (Mental Health)
53 PARKER HILL AVE
BOSTON, MA 02120
Student in an Organized Health Care Education/Training Program
53 PARKER HILL AVE
BOSTON, MA 02120
Counselor (Mental Health)
53 PARKER HILL AVE
BOSTON, MA 02120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Sandoval's NPI number?

The NPI number for Ellen Sandoval is 1083106801. It was assigned to this individual provider in the NPPES registry on June 6, 2018. The provider is also known as Ellen M Maynard.

Where is Ellen Sandoval located?

Ellen Sandoval practices at 53 Parker Hill Ave, Boston, MA 02120. The listed phone number is (617) 278-4251.

What is Ellen Sandoval's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ellen Sandoval was last updated on June 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.