IndividualActive
Ellen Sandoval, LICSW, EDM
NPI 1083106801 · Clinical Social Worker · Boston, MA
Ellen Sandoval, LICSW, EDM is a Clinical Social Worker provider in Boston, MA (NPI 1083106801).
Provider details
- NPI number
- 1083106801
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW, EDM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 117846 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
53 Parker Hill Ave
Boston, MA 02120-3225
Phone: (617) 278-4251
Street-level locationGet directions
Mailing address
182 Kittredge St Apt a
Boston, MA 02131-4114
Registry dates
- Enumerated
- 2018-06-06
- Last updated
- 2018-06-06
Frequently asked questions
- What is Ellen Sandoval's NPI number?
- Ellen Sandoval's National Provider Identifier (NPI) is 1083106801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellen Sandoval's specialty?
- Ellen Sandoval is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ellen Sandoval located?
- Ellen Sandoval's practice location on file with NPPES is 53 Parker Hill Ave, Boston, MA 02120-3225.
- What is Ellen Sandoval's phone number?
- The practice phone number listed in the NPPES registry for Ellen Sandoval is (617) 278-4251.
- Is Ellen Sandoval's NPI active?
- Yes — Ellen Sandoval's NPI (1083106801) is active in the NPPES registry as of the last update on 2018-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.