SANDRA ANN WIXTED LICSW
NPI 1346508728
Social Worker - Clinical in Brookline, MA

Active since April 24, 2012
323 TAPPAN ST APT 2, BROOKLINE, MA 02445(617) 738-0179 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Ann Wixted Licsw NPPES

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

SANDRA ANN WIXTED LICSW (NPI 1346508728) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (104122) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1346508728
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA ANN WIXTEDCredential: LICSW
Location Address323 TAPPAN ST APT 2Brookline, MA 02445-5334
Mailing Address323 Tappan St Apt 2Brookline, MA 02445-5334 · (617) 738-0179
Sole ProprietorYes
Enumeration DateApril 24, 2012
Last NPPES UpdateMay 9, 2012
NPI 1346508728 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 · 104122
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.
323 TAPPAN ST APT 2, Brookline, MA 02445

Other Identifiers 1

Medicaid104122MA

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 Sandra Wixted's NPI number?

The NPI number for Sandra Wixted is 1346508728. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Sandra Wixted located?

Sandra Wixted practices at 323 Tappan St Apt 2, Brookline, MA 02445. The listed phone number is (617) 738-0179.

What is Sandra Wixted'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 Sandra Wixted was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.