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CARISSA SANDOVAL LCSW
NPI 1417625542
Social Worker - Clinical in Jasper, IN

Active since September 02, 2021PECOS Enrolled
480 EVERSMAN DR, JASPER, IN 47546(812) 482-3020 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carissa Sandoval Lcsw NPPES

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

CARISSA SANDOVAL LCSW (NPI 1417625542) is an individual clinical provider in Jasper, Indiana, licensed in Indiana (34009167A) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417625542
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARISSA SANDOVALCredential: LCSW
Location Address480 EVERSMAN DRJasper, IN 47546-3548
Mailing Address480 Eversman DrJasper, IN 47546-3548 · (812) 482-3020
Phone(812) 482-3020
Sole ProprietorNo
Enumeration DateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1417625542 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 IN · 34009167A
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.
480 EVERSMAN DR, Jasper, IN 47546
Open in Google Maps ↗

Other Identifiers 1

Other3700-03-6622IN · Nppes

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

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

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 47546 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 20

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

LIFESPRING INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
480 EVERSMAN DR
JASPER, IN 47546
Dubois County (812) 280-2080
MICHAEL KUGLER LCSW
Social Worker (Clinical)
480 EVERSMAN DR
JASPER, IN 47546
Dubois County (812) 482-3020
MRS. JESSICA LAUREN COOPER M.S.W., L.C.S.W.
Social Worker (Clinical)
480 EVERSMAN DR
JASPER, IN 47546
Dubois County (812) 482-3020
KAREN RENEE ADAMS RDN LD
Dietitian, Registered
480 EVERSMAN DR
JASPER, IN 47546
Dubois County (812) 482-3020
KEVIN LEE MALONE
Social Worker (Clinical)
480 EVERSMAN DR
JASPER, IN 47546
Dubois County (812) 304-9715
SHAWNTIA GRAMELSPACHER-ZEHR LSW
Social Worker (Clinical)
480 EVERSMAN DR
JASPER, IN 47546
Dubois County (812) 482-3020
SOUTHERN HILLS COUNSELING CENTER, INC.
Psychologist (Clinical)
480 EVERSMAN DR
JASPER, IN 47546
Dubois County (812) 482-3020
SARAH A KLUENDER LCSW
Social Worker (Clinical)
480 EVERSMAN DR
JASPER, IN 47546
Dubois County (812) 482-3020

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 Carissa Sandoval's NPI number?

The NPI number for Carissa Sandoval is 1417625542. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Carissa Sandoval located?

Carissa Sandoval practices at 480 Eversman Dr, Jasper, IN 47546. The listed phone number is (812) 482-3020.

What is Carissa Sandoval's specialty?

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

Is Carissa Sandoval enrolled in Medicare?

Yes. Carissa Sandoval is registered in the Medicare PECOS enrollment system.

What insurance does Carissa Sandoval accept?

Health plans from CareSource list Carissa Sandoval 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 Carissa Sandoval was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.