SANDRA HAUKOM REARDON (LICSW) – Clinical Social Worker, NPI 1295045649

SANDRA HAUKOM REARDON (LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 17590 (MN). The NPI Number for SANDRA HAUKOM REARDON (LICSW) is 1295045649

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA HAUKOM REARDON (LICSW)
NPI
1295045649
Phone
(612) 518-3525
Address
1609 W 31ST ST
Enumeration Date
19 October 2010
Last Update Date
28 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6127997299
Graduation Year
2005 (21 years ago)
PAC ID
7517148604
Group Practice PAC ID
2062723653
Professional Enrollment ID
I20110223000023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for SANDRA HAUKOM REARDON (LICSW)

  • 1609 W 31ST ST

    MINNEAPOLIS, MN 554082504

    Phone: (612) 518-3525

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 55408)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062723653View full group profile

Reviews

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Frequently asked questions

Does SANDRA HAUKOM REARDON (LICSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SANDRA HAUKOM REARDON (LICSW) uses 1295045649.
Does the file indicate SANDRA HAUKOM REARDON (LICSW) is practicing under active NPI?
Directory data currently reports SANDRA HAUKOM REARDON (LICSW) as active.
What is SANDRA HAUKOM REARDON (LICSW)'s specialty?
The listing groups SANDRA HAUKOM REARDON (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is SANDRA HAUKOM REARDON (LICSW) based?
SANDRA HAUKOM REARDON (LICSW) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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