Sandra Ann Theodor, LICSW
Clinical Social Worker · Medford, MA
Sandra Ann Theodor, LICSW is a clinical social worker with a practice address in Medford, Massachusetts, and NPI 1891911749, issued on Apr 18, 2007. Check the license (Massachusetts 1029070, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Sandra Ann Theodor
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 1029070 MA
Self-reported in NPPES; status is on the state search - Practice location
- 151 Mystic Ave, Medford, MA 02155
- Phone
- (781) 396-1199
- Enumerated
- Apr 18, 2007
- Record last updated
- Aug 4, 2013 (not updated in 13 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20110228000056); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 17,815 in Massachusetts → Look up another NPI →
Also registered at 151 Mystic Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- David Banks, MHCMental Health Counselor1073782256
- Sarah BennettStudent in an Organized Health Care Education/Training Program1447901822
- Helaine Blomberg, MHCCounselor1396914578
- Abigail Bond, MHCSocial Worker1356515944
- Polihimnia Cabaero, MDPsychiatry Physician1376649996
- Ann Carpenter, LICSWClinical Social Worker1700083649
Verify Sandra Ann Theodor in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
Search for license 1029070Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Dcs Mental Health, IncMedford, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sandra Ann Theodor among 17,815 clinical social worker records in Massachusetts
Sandra Ann Theodor, LICSW is one of 17,815 clinical social worker records with a practice address in Massachusetts. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 15% of them.
- NPI issued2007 · 15% of these records are older, 70% newer
- In a Medicare fileYes · 8% of these records are
- In the CMS Doctors and Clinicians fileYes · 17% of these records are
- Graduated1994 · median 2004 among the 3,059 with a school on file
- Record last updated2013 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
120 clinical social worker records list a practice address in Medford
They are 120 of the 1,090 NPPES records with a practice address in Medford, and 17,815 clinical social worker records in Massachusetts.
All 17,815 in Massachusetts → Every provider in Medford → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Helena Bloomingdale, LICSWMedford, MA 021551104900117
- Karen Buetens, LICSWMedford, MA 021551235229436
- Joseph D'Amico, LICSWMedford, MA 021551669570057
- Kerry Desista, LCSWMedford, MA 021551063599579
- Mary Jill Harper, LICSWMedford, MA 021551730103284
- Deborah Herzog, MSWMedford, MA 021551013093392
- Beverley Jouett, LICSWMedford, MA 021551235182049
- Alice Kim, LICSWMedford, MA 021551184632663
Common questions
What is Sandra Ann Theodor, LICSW's NPI number?
Sandra Ann Theodor, LICSW's National Provider Identifier (NPI) is 1891911749, issued on Apr 18, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Sandra Ann Theodor, LICSW located?
The NPPES record lists a practice address at 151 Mystic Ave, Medford, MA, 02155. Phone: (781) 396-1199. Providers update this record themselves, so call before visiting.
How can I verify Sandra Ann Theodor, LICSW's license?
NPPES lists Massachusetts license number 1029070, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.