Individual provider Active NPI

Yolanda P. Sidoti, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1023236643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006448 Issued in CT
Practice address
8810 Rio San Diego Dr
Suite 2200
San Diego, CA 92108-1622
Phone
(619) 400-5163
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 006448 CT Primary

Addresses

Primary practice location

8810 Rio San Diego Dr
Suite 2200
San Diego, CA 92108-1622

Mailing address

222 Pictor LN
El Cajon, CA 92019-1938
Phone (619) 440-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006448CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dept of Veterans Affairs Past Accepting new patients

Organizations & group practices 1

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023236643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PICTOR LN",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920191938",
            "telephone_number": "619-440-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 RIO SAN DIEGO DR",
            "address_2": "SUITE 2200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081622",
            "telephone_number": "619-400-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOTI",
        "first_name": "YOLANDA",
        "middle_name": "P.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.