MS. RAZHEDATEQUILA EUNICETAGE SANFORD LCSW LCAS CSI
NPI 1306374160
Community/Behavioral Health in Gastonia, NC

Active since May 24, 2017PECOS Enrolled
3481 BEAR DEN DR, GASTONIA, NC 28052(704) 689-1577 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Dec 12, 2025, May 13, 2025 and 4 more (7 updates tracked since 2017).

About Ms. Razhedatequila Eunicetage Sanford Lcsw Lcas Csi NPPES

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

MS. RAZHEDATEQUILA EUNICETAGE SANFORD LCSW LCAS CSI (NPI 1306374160) is an individual community/behavioral health provider in Gastonia, North Carolina, licensed in North Carolina (C015805) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306374160
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameMS. RAZHEDATEQUILA EUNICETAGE SANFORDCredential: LCSW LCAS CSI
Location Address3481 BEAR DEN DRGastonia, NC 28052-0009
Mailing Address3481 Bear Den DrGastonia, NC 28052-0009 · (704) 689-1577
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 24, 2017
Last NPPES UpdateFebruary 4, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1306374160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NC · C015805
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 25881 (NC)
Also ListedSocial WorkerTaxonomy 104100000X · License C015805 (NC)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C015805 (NC)
3481 BEAR DEN DR, Gastonia, NC 28052

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Razhedatequila Eunicetage Sanford Lcsw Lcas Csi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264874775
PECOS Enrollment IDI20240530000384
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
92 services34 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
30 services30 patients

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
3481 BEAR DEN DR
GASTONIA, NC 28052

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 Razhedatequila Sanford's NPI number?

The NPI number for Razhedatequila Sanford is 1306374160. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Razhedatequila Sanford located?

Razhedatequila Sanford practices at 3481 Bear Den Dr, Gastonia, NC 28052. The listed phone number is (704) 689-1577.

What is Razhedatequila Sanford's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Razhedatequila Sanford enrolled in Medicare?

Yes. Razhedatequila Sanford is registered in the Medicare PECOS enrollment system.

What insurance does Razhedatequila Sanford accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Razhedatequila Sanford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Razhedatequila Sanford was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.