Individual provider Active NPI

Sydney Smyk, LCSW

  • Clinical Social Worker
  • Lewes, DE
National Provider Identifier
1033990072
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012339 Issued in DE
Practice address
16529 Coastal Hwy Unit 120
Lewes, DE 19958-3697
Phone
(302) 519-9041
Fax
(302) 644-6768
NPI assigned
Oct 5, 2023
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Q1-0012339 DE
Clinical Social Worker 1041C0700X Q1-0012339 DE Primary

Addresses

Primary practice location

16529 Coastal Hwy Unit 120
Lewes, DE 19958-3697

Mailing address

16529 Coastal Hwy Unit 120
Lewes, DE 19958-3697
Phone (302) 519-9041

Other practice location 1

31168 Learning Ln
Lewes, DE 19958-3685
Phone (302) 645-5338 ext. 4216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240123002119 DE Practitioner - Clinical Social Worker 5890147193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16529 Coastal Hwy
Unit 120
Lewes, DE 19958-3697
Phone (302) 519-9041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sydney Smyk, LCSW LLC CurrentSince Jan 18, 2024 Accepting new patients

Locations

16529 Coastal Hwy
Unit 120
Lewes, DE 19958
Phone (302) 455-8950

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1033990072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16529 COASTAL HWY UNIT 120",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583697",
            "telephone_number": "302-519-9041",
            "fax_number": "302-644-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16529 COASTAL HWY UNIT 120",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583697",
            "telephone_number": "302-519-9041",
            "fax_number": "302-644-6768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31168 Learning Ln",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199583685",
            "country_code": "US",
            "telephone_number": "302-645-5338 x4216",
            "fax_number": "302-644-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMYK",
        "first_name": "SYDNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DE",
            "license": "Q1-0012339",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.