Active NPI
Sydney Sanford, MSW, LSW
- Clinical Social Worker
- Lewis Center, OH
National Provider Identifier
1114593159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.2207417
- Practice address
- 7100 Graphics Way Ste 3100
Lewis Center, OH 43035-1123 - Phone
- (740) 428-0428
- Fax
- (740) 909-4077
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.2207417 | OH | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
7100 Graphics Way Ste 3100
Lewis Center, OH 43035-1123
Mailing address
7100 Graphics Way Ste 3100
Lewis Center, OH 43035-1123
Phone (740) 428-0428
Other practice location 1
195 Union St Ste B1
Newark, OH 43055-3998
Phone (740) 349-7066
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.2207417 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlands, Serving Central Ohio Inc. | Clinical | Current | Accepting new patients |
| Equitas Health, Inc | Past | Accepting new patients |
Locations
195 Union St
Ste B1
Newark, OH 43055
Phone (740) 281-5210
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.
-
- Clinical Social Worker
- Newark, OH
- NPI 1376607374
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1063239911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1114593159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 GRAPHICS WAY STE 3100",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430351123",
"telephone_number": "740-428-0428",
"fax_number": "740-909-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 GRAPHICS WAY STE 3100",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430351123",
"telephone_number": "740-428-0428",
"fax_number": "740-909-4077"
}
],
"practiceLocations": [
{
"address_1": "195 Union St Ste B1",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430553998",
"country_code": "US",
"telephone_number": "740-349-7066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANFORD",
"first_name": "SYDNEY",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.2207417",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewis Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.