CHARMAYNE N SANDOVAL LCSW
NPI 1215221320
Social Worker - Clinical in Pueblo, CO
About Charmayne N Sandoval Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARMAYNE N SANDOVAL LCSW (NPI 1215221320) is an individual clinical provider in Pueblo, Colorado, licensed in Colorado (CSW.09923811) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Canon City, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Charmayne N Sandoval Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Charmayne Sandoval reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pueblo, CO 81004
- Reassigned Medicare billing, Colorado enrollment
- 137 clinicians in this Medicare group
Pueblo, CO 81004
- Reassigned Medicare billing, Colorado enrollment
- 1,193 clinicians in this Medicare group
Canon City, CO 81212
- Reassigned Medicare billing, Colorado enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PUEBLO, CO 81004
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 Charmayne Sandoval's NPI number?
The NPI number for Charmayne Sandoval is 1215221320. It was assigned to this individual provider in the NPPES registry on June 6, 2011. The provider is also known as Charmayne N Hyatt.
Where is Charmayne Sandoval located?
Charmayne Sandoval practices at 110 E Routt Ave, Pueblo, CO 81004. The listed phone number is (719) 543-8711.
What is Charmayne Sandoval's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Charmayne Sandoval enrolled in Medicare?
Yes. Charmayne Sandoval is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Charmayne Sandoval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charmayne Sandoval reassigns Medicare benefits to 3 organizations: Pueblo Community Health Center Inc (Pueblo, CO), Catholic Health Initiatives Colorado (Pueblo, CO) and Life Counseling And Consulting, PLLC (Canon City, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charmayne Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Charmayne Sandoval was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charmayne N Sandoval, LCSW · NPI 1215221320
Clinical provider in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since June 6, 2011.
## Identity
- **NPI:** 1215221320 (Entity type: Individual)
- **Enumerated:** June 6, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW.09923811 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 E ROUTT AVE, Pueblo, CO 81004-2117
- **Phone:** (719) 543-8711 · **Fax:** (719) 543-0171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pueblo Community Health Center Inc (NPI 1770529950, Pueblo, CO); Catholic Health Initiatives Colorado (NPI 1710933163, Pueblo, CO); Life Counseling And Consulting, PLLC (NPI 1518400837, Canon City, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 20, 2021
- **Other identifiers:** Medicaid 61502723 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1215221320) · Data from the CMS NPPES public registry.