MARISOL SEDORE (MSW, LISW) – Social Worker, NPI 1073863759

MARISOL SEDORE (MSW, LISW) is a healthcare provider. based in Columbus, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LISW. The NPI Number for MARISOL SEDORE (MSW, LISW) is 1073863759

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARISOL SEDORE (MSW, LISW)
NPI
1073863759
Phone
(614) 371-2303
Address
4770 INDIANOLA AVE # 107
Enumeration Date
11 September 2012
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6143712303
Graduation Year
2019 (7 years ago)
PAC ID
0345762563
Group Practice PAC ID
6002243755
Professional Enrollment ID
I20250318000588
Address ID
OH432141862CO4770XAVEX307
Telehealth
Yes

Contacts

Main Contact
msandhp@gmail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:13State licenses:0Other namesUpdated within 12 months

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MARISOL SEDORE (MSW, LISW)

  • 4770 INDIANOLA AVE # 107

    COLUMBUS, OH 432141862

    Phone: (614) 371-2303

    Fax: (800) 905-9950

    Type: Mailing

  • 522 WESTMINSTER BLVD

    OLDSMAR, FL 346774668

    Phone: (727) 269-1609

    Type: Mailing

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: 2025-03-18

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
I20250318000588IClinical Social WorkerOHTBD

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 43214)

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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: 6002243755View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Nurse PractitionerOH
Nurse PractitionerOH
Emergency MedicineOH
Nurse PractitionerNC
Clinical PsychologistPA
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify MARISOL SEDORE (MSW, LISW) with an NPI only?
You can start verification with NPI 1073863759 for MARISOL SEDORE (MSW, LISW), then check state licensing separately.
Does the file indicate MARISOL SEDORE (MSW, LISW) is practicing under active NPI?
Directory data currently reports MARISOL SEDORE (MSW, LISW) as active.
What is MARISOL SEDORE (MSW, LISW) best known for clinically?
Directory data describes MARISOL SEDORE (MSW, LISW) with Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MARISOL SEDORE (MSW, LISW)?
MARISOL SEDORE (MSW, LISW)'s geographic hint is Columbus, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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