Individual provider Active NPI

Sydney Julia Bian Shepard, LCSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1053997437
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097050 Issued in NY
Practice address
979 Cross Bronx Expy
Bronx, NY 10460-4885
Phone
(718) 665-7565
NPI assigned
Mar 24, 2021
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097050 NY Primary

Addresses

Primary practice location

979 Cross Bronx Expy
Bronx, NY 10460-4885

Mailing address

2819 Tilden Ave Apt 2B
Brooklyn, NY 11226-5050
Phone (718) 483-3355

Other practice location 1

177 Livingston St Lowr Level
Brooklyn, NY 11201-7000
Phone (718) 855-7707

Other identifiers 1

IdentifierTypeStateIssuer
08109051MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251113001991 NY Practitioner - Clinical Social Worker 9931636313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Project, Inc.Group PAC ID 1254223217, shared by 9 NPIs, 47 clinicians

Practice addresses (Care Compare)

356 W 18TH St
New York, NY 10011-4401
Phone (212) 271-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097050NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Project Inc. CurrentSince Sep 6, 2025 Accepting new patients
Community Health Project Inc. CurrentSince Sep 6, 2025 Accepting new patients
Community Health Project Inc. Current Accepting new patients
Community Health Project Inc. Past Accepting new patients
Greenpoint Psychotherapy LCSW PLLC PastSince Mar 1, 2021 Accepting new patients
Community Health Project Inc. Past Accepting new patients

Locations

356 W 18th St
New York, NY 10011

356 W 18th St
Fl 6
New York, NY 10011
Phone (212) 271-7167

356 W 18th St
Ste 6
New York, NY 10011

Organizations & group practices 7

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1053997437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 TILDEN AVE APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265050",
            "telephone_number": "718-483-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 CROSS BRONX EXPY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604885",
            "telephone_number": "718-665-7565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Livingston St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112017000",
            "country_code": "US",
            "telephone_number": "718-855-7707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "SYDNEY",
        "middle_name": "JULIA BIAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08109051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.