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

MS. Ellen M Sandoval, LICSW, EDM

Individual provider Clinical Social Worker · NPI 1083106801

MS. Ellen M Sandoval, LICSW, EDM is a Clinical Social Worker in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
What do these letters mean?
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

53 Parker Hill Ave
Boston, MA 02120-3225
Phone: (617) 278-4251
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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 117846 (MA)

Record details

NPI number1083106801
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , EDM
Sole proprietorYes
NPI enumeratedJune 6, 2018
Last updated in NPPESJune 6, 2018

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