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

Kenneth Eugene Sandin, LCSW

Individual provider Clinical Social Worker · NPI 1770058851

Kenneth Eugene Sandin, LCSW is a Clinical Social Worker in Eugene, Oregon. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
7
Licensed in
CA, OR
In the registry since
2018
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.

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Practice location Address checks out

4736 Royal Ave # 254
Eugene, OR 97402-1755
Phone: (707) 502-2833
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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 LCSW108992 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence L14016 (OR)

Record details

NPI number1770058851
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address4736 Royal Ave # 254, Eugene, OR 97402-1755

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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