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SANDRA CHAMPA LCSW
NPI 1790165470
Social Worker - Clinical in Greenacres, FL

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
5700 LAKE WORTH RD STE 209-5, GREENACRES, FL 33463(561) 929-3792(561) 265-1349 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandra Champa Lcsw NPPES

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

SANDRA CHAMPA LCSW (NPI 1790165470) is an individual clinical provider in Greenacres, Florida, licensed in Florida (SW8305) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1790165470
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA CHAMPACredential: LCSW
Location Address5700 LAKE WORTH RD STE 209-5Greenacres, FL 33463-3270
Mailing Address5700 Lake Worth Rd Ste 209-5Greenacres, FL 33463-3270 · (561) 929-3792 · Fax (561) 265-1349
Phone(561) 929-3792
Fax(561) 265-1349
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 8, 2015
✔ NPI 1790165470 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.
5700 LAKE WORTH RD STE 209-5, Greenacres, FL 33463
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Champa Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143547612
PECOS Enrollment IDI20150320000986
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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Champa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sandra S Champa Lcsw Cap LLC
4.1 mi
Clinical
1825 FOREST HILL BLVD STE 105
West Palm Beach, FL 33406
  • Reassigned Medicare billing, Florida enrollment
NPI 1356758536 (561) 929-3792

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33463 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 $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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 Champa's NPI number?

The NPI number for Sandra Champa is 1790165470. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Sandra Champa located?

Sandra Champa practices at 5700 Lake Worth Rd Ste 209-5, Greenacres, FL 33463. The listed phone number is (561) 929-3792.

What is Sandra Champa's specialty?

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

Is Sandra Champa enrolled in Medicare?

Yes. Sandra Champa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sandra Champa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Champa reassigns Medicare benefits to Sandra S Champa Lcsw Cap LLC (West Palm Beach, FL). The 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 Sandra Champa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandra Champa was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.