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

Individual provider Clinical Social Worker · NPI 1891911749

MS. Sandra Ann Theodor, LICSW is a Clinical Social Worker in Medford, Massachusetts. Qualified in 1994, 32 years ago. Practices with Dcs Mental Health, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
32
Licensed in
MA
In the registry since
2007
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

151 Mystic Ave Ste 6 Dcs Mental Health Inc
Medford, MA 02155-4632
Phone: (781) 396-1199
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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 1029070 (MA)

Record details

NPI number1891911749
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESAugust 4, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Dcs Mental Health, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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