Active NPI
Sydney M McSorley, LSW
- Clinical Social Worker
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34010248A
- Practice address
- 1499 Windhorst Way Ste 220
Greenwood, IN 46143-8800 - Phone
- (317) 569-5433
- Fax
- (317) 569-1767
- NPI assigned
- Dec 30, 2020
- Last updated
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 33009899A | IN | |
| Clinical Social Worker | 1041C0700X | 34010248A | IN | Primary |
Addresses
Primary practice location
1499 Windhorst Way Ste 220
Greenwood, IN 46143-8800
Mailing address
4221 N Broadway Ave
Muncie, IN 47303-1015
Phone (765) 282-7150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
4040 S Meridian St
Suite 5
Indianapolis, IN 46217-3310
Phone (317) 460-4812
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34010248A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Maitri Counseling Collective Services LLC | Clinical | Current | Accepting new patients |
Locations
318 S Washington St
Bloomington, IN 47401
Phone (812) 329-0072
1185 W Carmel Dr
Ste D4
Carmel, IN 46032
Phone (317) 208-2300
1499 Windhorst Way
Ste 220
Greenwood, IN 46143
Phone (317) 569-5433
4040 S Meridian St
Ste 5
Indianapolis, IN 46217
Phone (317) 460-4204
4221 N Broadway Ave
Muncie, IN 47303
Phone (765) 282-7150
Interoperability endpoints
- sydney.mcsorley.1@28621.direct.athenahealth.com
Organizations & group practices 3
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.
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- NPI 1841000536
Clinical
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dba LifeSolutions Counseling Associates of Indiana
- Clinical Psychologist
- Carmel, IN
- NPI 1497525828
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1295322766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 N BROADWAY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031015",
"telephone_number": "765-282-7150",
"fax_number": "765-282-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 WINDHORST WAY STE 220",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461438800",
"telephone_number": "317-569-5433",
"fax_number": "317-569-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSORLEY",
"first_name": "SYDNEY",
"middle_name": "M",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33009899A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34010248A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.