Sandra Theodor, LICSW
NPI 1891911749 · Clinical Social Worker · Medford, MA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sandra Theodor, LICSW is a Clinical Social Worker provider in Medford, MA (NPI 1891911749).
Provider details
- NPI number
- 1891911749
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 1029070 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2013-08-04
Frequently asked questions
- What is Sandra Theodor's NPI number?
- Sandra Theodor's National Provider Identifier (NPI) is 1891911749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandra Theodor's specialty?
- Sandra Theodor is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Sandra Theodor located?
- Sandra Theodor's practice location on file with NPPES is 151 Mystic Ave, Medford, MA 02155-4632.
- What is Sandra Theodor's phone number?
- The practice phone number listed in the NPPES registry for Sandra Theodor is (781) 396-1199.
- Does Sandra Theodor accept Medicare?
- Sandra Theodor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sandra Theodor's NPI active?
- Yes — Sandra Theodor's NPI (1891911749) is active in the NPPES registry as of the last update on 2013-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.