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

Individual provider Clinical Social Worker · NPI 1346810363

Kelby Sandoval, LCSW, LICSW is a Clinical Social Worker in Waterbury, Connecticut. Practices as a sole proprietor. Licensed in Connecticut and Massachusetts.

Licensed in
CT, MA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

62 Hillcrest Ave
Waterbury, CT 06705-2948
Phone: (203) 805-9744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 013352 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 128490 (MA)

Record details

NPI number1346810363
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LICSW
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

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