SANDRA KATZ (LICSW) – Clinical Social Worker, NPI 1336126481

SANDRA KATZ (LICSW) is a healthcare provider. based in Brookline, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 111470 (MA). The NPI Number for SANDRA KATZ (LICSW) is 1336126481

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA KATZ (LICSW)
NPI
1336126481
Phone
(617) 277-3241
Address
77 POND AVE
Enumeration Date
29 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172773241
Graduation Year
1998 (28 years ago)
PAC ID
6901703818
Professional Enrollment ID
I20031218000197
Address ID
MA024457115BR77XXXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for SANDRA KATZ (LICSW)

  • Brookhouse Dental, 77, Pond Avenue, Brookline Village, Brookline, Norfolk County, Massachusetts, 02130-4803, United States

    APT #1111

    BROOKLINE, MA 024457141

    Phone: (617) 277-3241

    Type: Mailing

  • 250, Mount Vernon Street, Dorchester, Boston, Suffolk County, Massachusetts, 02125, United States

    DORCHESTER, MA 021253120

    Phone: (617) 288-1140

    Fax: (617) 288-3910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031218000197IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02445)

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Reviews

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Frequently asked questions

Can I cross-check SANDRA KATZ (LICSW) using NPI 1336126481?
NPI 1336126481 belongs to SANDRA KATZ (LICSW); compare other details if you need extra assurance.
Active or inactive — what applies to SANDRA KATZ (LICSW)?
You should see SANDRA KATZ (LICSW) as active in CMS-hosted NPPES data.
What kind of doctor is SANDRA KATZ (LICSW)?
SANDRA KATZ (LICSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is SANDRA KATZ (LICSW) located near Brookline?
SANDRA KATZ (LICSW) currently maps to Brookline, Massachusetts in this extract.
When was this NPI issued?
Enumeration for SANDRA KATZ (LICSW) is noted as December 29, 2005 where the registry provides it.

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