MS. SANDRA ANN THEODOR LICSW
NPI 1891911749
Social Worker - Clinical in Medford, MA
About Ms. Sandra Ann Theodor Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SANDRA ANN THEODOR LICSW (NPI 1891911749) is an individual clinical provider in Medford, Massachusetts, licensed in Massachusetts (1029070) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Sandra Ann Theodor Licsw 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Theodor's NPI number?
The NPI number for Sandra Theodor is 1891911749. It was assigned to this individual provider in the NPPES registry on April 18, 2007.
Where is Sandra Theodor located?
Sandra Theodor practices at 151 Mystic Ave Ste 6, Dcs Mental Health Inc., Medford, MA 02155. The listed phone number is (781) 396-1199.
What is Sandra Theodor's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Sandra Theodor enrolled in Medicare?
Yes. Sandra Theodor 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.
What insurance does Sandra Theodor accept?
Health plans from Anthem Blue Cross and Blue Shield list Sandra Theodor 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 Sandra Theodor was last updated on August 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ms. Sandra Ann Theodor, LICSW · NPI 1891911749
Clinical provider in Medford, Massachusetts. Individual provider, active in the CMS NPPES registry since April 18, 2007.
## Identity
- **NPI:** 1891911749 (Entity type: Individual)
- **Enumerated:** April 18, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 1029070 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 151 MYSTIC AVE, STE 6, DCS MENTAL HEALTH INC., Medford, MA 02155-4632
- **Phone:** (781) 396-1199
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** August 4, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1891911749) · Data from the CMS NPPES public registry.