MS. KIMBERLY ANN SANDUSKY (NPI# 1144525197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144525197 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY ANN SANDUSKY |
| Practice Address |
1853 Oconnell Blvd Bldg 1056 Fort Carson CO 80913-4055 |
| Mailing Address |
990 Bayfield Way #201 Colorado Springs CO 80906-4627 |
| Practice Telephone | 7195266748 |
| Mailing Telephone | 7193573072 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
000081 | GU | Behavioral Health & Social Service Providers |
| Street Address |
1853 OCONNELL BLVD BLDG 1056 |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578542981 | Mary Lynn Marsh | Physician Assistant | 1853 Oconnell Blvd, Fort Carson, CO 80913-4055 | 2006-01-13 |
| 1588961031 | Michael J Andrews | Pharmacist | 1853 Oconnell Blvd, Buliding 1042, Fort Carson, CO 80913-4055 | 2011-02-18 |
| 1659515260 | Raymond John Taylor | Social Worker | 1853 Oconnell Blvd, Fort Carson, CO 80913-4055 | 2009-04-27 |
| 1376714105 | Susan J Roeth | Social Worker | 1853 Oconnell Blvd, Bldg 1056, Room 9, Fort Carson, CO 80913-4055 | 2008-03-19 |
| 1659428209 | Anne Elizabeth Fuller | Physician Assistant | 1853 Oconnell Blvd, Bldg. 1042, Fort Carson, CO 80913-4055 | 2007-01-05 |
| 1932139748 | Dalton Maples Jr. | Physician Assistant | 1853 Oconnell Blvd, Building 1042, Fort Carson, CO 80913-4055 | 2006-07-04 |
| 1073587259 | Lori Letitia Peterson | Registered Nurse | 1853 Oconnell Blvd, Bldg. 1042, Fort Carson, CO 80913-4055 | 2006-02-15 |
| 1700866829 | Dorothy Boschert | Registered Nurse | 1853 Oconnell Blvd, Room 120, Fort Carson, CO 80913-4055 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044214 | Kanchana Matson | Social Worker | 6909 Titus Blvd, Fort Carson, CO 80913-4429 | 2019-10-08 |
| 1083134456 | Lynnette Denise Gladney | Social Worker | 6540 Specker Ave, Fort Carson, CO 80913-4232 | 2017-06-26 |
| 1538523824 | Justyna K Porter | Social Worker | Bldg 7490, Southerland Circle and Provide Comfort Rd, Robinson Family Medicine Clinic, Fort Carson, CO 80913-8239 | 2016-04-12 |
| 1609264217 | Michael Conner | Social Worker | 1830 Ellis St, Fort Carson, CO 80913-4900 | 2015-01-05 |
| 1700154283 | Stacy Lynn Pintor | Social Worker | 6541 Specker Rd, Bldg 1830, Fort Carson, CO 80913 | 2011-12-12 |
| 1003065954 | Carla D. Banks | Social Worker | 5886 Barkeley Ave, Fort Carson, CO 80913-4152 | 2008-09-16 |
| 1497964100 | Carol Denise Wenzl | Social Worker | 6541 Specker Ave Bldg 1830, Fort Carson, CO 80913-4263 | 2007-05-21 |
| 1053428169 | Ramon Eduardo Font | Social Worker | 6541 Specker Ave., Building 1830, Evans Army Community Hospital Dept of Behavioral Health, Fort Carson, CO 80913 | 2006-08-24 |
| 1720054430 | Deborah Ann Scholz | Social Worker | Usa Meddac< Evans Army Community Hospital, Social Work Service, Fort Carson, CO 80913-4604 | 2006-02-23 |
| 1346214863 | Frederick Mark Fraijo | Social Worker | 7500 Cochrane Cir., Fort Carson, CO 80913 | 2006-02-13 |
| Find all providers in FORT CARSON | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
Please comment or provide details below to improve the information on MS. KIMBERLY ANN SANDUSKY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.