Provider Demographics
NPI:1306909700
Name:SANDLIN, GINA K (MSW)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:K
Last Name:SANDLIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 STATE ROAD 46 EAST
Mailing Address - Street 2:SUITE D
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-1253
Mailing Address - Country:US
Mailing Address - Phone:812-933-1820
Mailing Address - Fax:812-932-1820
Practice Address - Street 1:981 STATE ROAD 46 EAST
Practice Address - Street 2:SUITE D
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-1253
Practice Address - Country:US
Practice Address - Phone:812-933-1820
Practice Address - Fax:812-932-1820
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005745A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical