CHARMAYNE N SANDOVAL LCSW
NPI 1215221320
Social Worker - Clinical in Pueblo, CO

Q: 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.

Q: What is Charmayne Sandoval's specialty?

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

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment

110 E ROUTT AVE, PUEBLO, CO 81004(719) 543-8711(719) 543-0171 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2021, Jul 12, 2019, May 16, 2016 (3 updates tracked since 2016).

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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 and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215221320

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCHARMAYNE N SANDOVALCredential: LCSW

Location Address110 E ROUTT AVEPueblo, CO 81004-2117

Mailing Address300 Colorado AvePueblo, CO 81004-2006 · (719) 543-8711 · Fax (719) 543-0171

Phone(719) 543-8711

Fax(719) 543-0171

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 6, 2011

Last NPPES UpdateJuly 20, 20213 updates tracked since enumeration

NPPES CertifiedJuly 20, 2021

✔ NPI 1215221320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CO · CSW.09923811

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License CSW.09923811 (CO)

110 E ROUTT AVE, Pueblo, CO 81004

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Other Names 1

Former Name (1)Charmayne N Hyatt

Other Identifiers 1

Medicaid61502723CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8527373760

PECOS Enrollment IDI20150817001419

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$0.00 typical visit price

range $58.06 – $174.82

Typical copayment $0.00 (range $14.51 – $43.70)

Most-billed visit code NA

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RUTH BAILEY RN

Registered Nurse (Community Health)