MEDICARE: STEPHEN SANDLER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW6774	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	576119000	OTHER	FL	MAGELLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	Z040U	OTHER	FL	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851387542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN SANDLER LCSW

Provider Business Mailing Address
First Line	:	1020 LAKE SUMTER LNDG
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32162-2699
Country	:	US
Telephone Number	:	352-674-8905
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 OLD CAMP RD
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32162-1762
Country	:	US
Telephone Number	:	352-674-1760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	08/18/2025

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Directions to “ STEPHEN SANDLER LCSW” Practice Location

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