Individual provider · Type 1 NPI

Laurie Sanderson

Clinical Social Worker · Syracuse, NY

NPI number 1780646802 Active

Practice location

819 S Salina St
Syracuse, NY 13202-3536

Fax (315) 475-1448

Mailing address

251 Salina Meadows Pkwy, Suite 100
Syracuse, NY 13212-4584

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1780646802

Laurie Sanderson's National Provider Identifier is 1780646802, issued on Apr 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Jul 13, 2026.