# CONNIE S SANDATE LSCSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952239717
- **Authorized official:** CONNIE S SANDATE LSCSW (OWNER)
- **Authorized official phone:** (316) 204-9667

## Contact information

- **Practice address:** 905 E BROADWAY ST, NEWTON, KS 67114-3043
- **Practice address phone:** (316) 204-9667
- **Mailing address:** 905 E BROADWAY ST, NEWTON, KS 67114-3043
- **Mailing address phone:** (316) 204-9667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2026
- **Last updated:** 05/12/2026