Provider Demographics
NPI:1649314469
Name:HUMPHREYS, SANDY L (MSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:L
Last Name:HUMPHREYS
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:SANDY
Other - Middle Name:
Other - Last Name:ELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:513 DRUID HILL AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-6803
Mailing Address - Country:US
Mailing Address - Phone:410-430-4843
Mailing Address - Fax:
Practice Address - Street 1:16359 SUSSEX HWY
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:DE
Practice Address - Zip Code:19933-2966
Practice Address - Country:US
Practice Address - Phone:302-337-7990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD317541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical