Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charmayne N Sandoval, LCSW

Individual provider Mental Health Counselor · NPI 1215221320

Charmayne N Sandoval, LCSW is a Clinical Social Worker in Pueblo, Colorado. Qualified in 2012, 14 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
14
Licensed in
CO
In the registry since
2011
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

110 E Routt Ave
Pueblo, CO 81004-2117
Phone: (719) 543-8711
Fax: (719) 543-0171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1338 Phay Ave Bldg D, Canon City, CO 81212-2326 — (719) 285-2091

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09923811 (CO)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X · Licence CSW.09923811 (CO)

Record details

NPI number1215221320
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 6, 2011
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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