Individual
CONNIE S SANDATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
905 E BROADWAY ST, NEWTON, KS 67114-3043
(316) 204-9667
(316) 204-9667
Mailing address
905 E BROADWAY ST, NEWTON, KS 67114-3043
(316) 204-9667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 1593
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044795
BLUE CROSS BLUE SHIELD
KS
05
—
100005400A
—
KS
01
—
8000010217
RR MEDICARE
KS
Enumeration date
07/17/2006
Last updated
05/05/2026
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