SANDRA CHAMPA LCSW
NPI 1356758536
Social Worker - Clinical in West Palm Beach, FL

Q: What is Sandra S Champa Lcsw Cap LLC's NPI number?

The NPI number for Sandra S Champa Lcsw Cap LLC is 1356758536. It was assigned to this organization in the NPPES registry on July 19, 2014. The provider is doing business as Sandra Champa Lcsw.

Q: What is Sandra S Champa Lcsw Cap LLC's specialty?

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

Active since July 19, 2014

1825 FOREST HILL BLVD STE 105, WEST PALM BEACH, FL 33406(561) 929-3792(954) 785-5808 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Sandra Champa Lcsw NPPES

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

SANDRA CHAMPA LCSW (NPI 1356758536) is a healthcare organization registered as a clinical in West Palm Beach, Florida and active in the NPI registry since July 2014. The organization lists Terri Hirschberg, Medical Biller, as its authorized official.

NPPES Registry Identity

NPI1356758536

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSANDRA S CHAMPA LCSW CAP LLC

Location Address1825 FOREST HILL BLVD STE 105West Palm Beach, FL 33406-6058

Mailing Address7437 Pine Park Dr SLake Worth, FL 33467-8852 · (561) 929-3792 · Fax (954) 785-5808

Phone(561) 929-3792

Fax(954) 785-5808

Organization SubpartNo

Authorized OfficialTerri HirschbergMedical Biller · (954) 784-2845

Enumeration DateJuly 19, 2014

Last NPPES UpdateMarch 12, 2021

NPPES CertifiedNovember 18, 2020

✔ NPI 1356758536 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 FL · SW8305

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.

1825 FOREST HILL BLVD STE 105, West Palm Beach, FL 33406

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Other Names 1

Doing Business AsSandra Champa Lcsw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Champa Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sandra Champa Lcsw, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sandra Champa, LCSW

Clinical Social Worker

NPI 1790165470

5700 LAKE WORTH RD STE 209-5
Greenacres, FL 33463

(561) 929-3792

✔ PECOS✔ Accepts Medicare4.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 S Champa Lcsw Cap LLC's NPI number?

The NPI number for Sandra S Champa Lcsw Cap LLC is 1356758536. It was assigned to this organization in the NPPES registry on July 19, 2014. The provider is doing business as Sandra Champa Lcsw.

Where is Sandra S Champa Lcsw Cap LLC located?

Sandra S Champa Lcsw Cap LLC is located at 1825 Forest Hill Blvd Ste 105, West Palm Beach, FL 33406. The listed phone number is (561) 929-3792.

What is Sandra S Champa Lcsw Cap LLC's specialty?

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

Is Sandra S Champa Lcsw Cap LLC enrolled in Medicare?

Yes. Sandra S Champa Lcsw Cap LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandra S Champa Lcsw Cap LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sandra S Champa Lcsw Cap LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sandra S Champa Lcsw Cap LLC was last updated on March 12, 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.