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KELBY SANDOVAL LCSW, LICSW
NPI 1346810363
Social Worker - Clinical in Waterbury, CT

Active since June 30, 2021
62 HILLCREST AVE, WATERBURY, CT 06705(203) 805-9744 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2024, Dec 29, 2024, Jul 1, 2021 (3 updates tracked since 2021).

About Kelby Sandoval Lcsw, Licsw NPPES

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

KELBY SANDOVAL LCSW, LICSW (NPI 1346810363) is an individual clinical provider in Waterbury, Connecticut, licensed in Connecticut (013352) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1346810363
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKELBY SANDOVALCredential: LCSW, LICSW
Location Address62 HILLCREST AVEWaterbury, CT 06705-2948
Mailing Address62 Hillcrest AveWaterbury, CT 06705-2948 · (203) 805-9744
Phone(203) 805-9744
Sole ProprietorYes
Enumeration DateJune 30, 2021
Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1346810363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CT · 013352✔ Licensed in MA · 128490
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.
62 HILLCREST AVE, Waterbury, CT 06705
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Other Providers at the Same Location NPPES

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

ANCHOR COUNSELING SERVICES LLC
Social Worker (Clinical)
62 HILLCREST AVE
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 805-9744

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 Kelby Sandoval's NPI number?

The NPI number for Kelby Sandoval is 1346810363. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Kelby Sandoval located?

Kelby Sandoval practices at 62 Hillcrest Ave, Waterbury, CT 06705. The listed phone number is (203) 805-9744.

What is Kelby 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 Kelby Sandoval was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.