Individual provider Active NPI

Sydney Pratt Pappas, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1013620087
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW14488 Issued in CA
Practice address
2490 W Shaw Ave Ste 101
Fresno, CA 93711-3063
Phone
(559) 248-8579
Fax
(559) 320-0058
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW14488 CA Primary

Addresses

Primary practice location

2490 W Shaw Ave Ste 101
Fresno, CA 93711-3063

Mailing address

10432 N Sinclair Cir
Fresno, CA 93730-3488
Phone (559) 579-8582

Other names 1

  • Sydney Louise Pratt Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spappas@hindshospice.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314002314 CA Practitioner - Clinical Social Worker 0042656878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW14488CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hinds Hospice CurrentSince Jan 16, 2024 Accepting new patients
Hinds Hospice CurrentSince Jan 16, 2024 Accepting new patients

Locations

2490 W Shaw Ave
Ste 101
Fresno, CA 93711
Phone (559) 226-5683

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1013620087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 N SINCLAIR CIR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937303488",
            "telephone_number": "559-579-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 W SHAW AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113063",
            "telephone_number": "559-248-8579",
            "fax_number": "559-320-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "SYDNEY",
        "middle_name": "PRATT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW14488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spappas@hindshospice.org",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "address_1": "2490 W Shaw Ave Ste 101",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937113063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "PRATT",
            "middle_name": "LOUISE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.