Individual provider Active NPI

Sydney Thomas

  • Clinical Social Worker
  • Ottumwa, IA
National Provider Identifier
1326665373
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1111 N Quincy Ave Ste 137
Ottumwa, IA 52501-3864
Phone
(641) 856-2688
Fax
(641) 856-2690
NPI assigned
Jun 25, 2020
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 NU Primary

Addresses

Primary practice location

1111 N Quincy Ave Ste 137
Ottumwa, IA 52501-3864

Mailing address

1111 N Quincy Ave Ste 137
Ottumwa, IA 52501-3864
Phone (641) 856-2688

Other identifiers 2

IdentifierTypeStateIssuer
1659353670MedicaidIA
1659353670OtherIABLUE CROSS BLUE SHIELD OF IOWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20221011001015 IA Practitioner - Clinical Social Worker 1254717549 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paula S. Gordy Lisw, LLC CurrentSince Jan 6, 2026 Accepting new patients
Paula S. Gordy Lisw, LLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

101 S Madison St
Bloomfield, IA 52537
Phone (641) 664-2490

501 N 12th St
Ste 1
Centerville, IA 52544
Phone (641) 856-2688

1111 N Quincy Ave
Ste 137
Ottumwa, IA 52501
Phone (641) 856-2688

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, 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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1326665373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N QUINCY AVE STE 137",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013864",
            "telephone_number": "641-856-2688",
            "fax_number": "641-856-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N QUINCY AVE STE 137",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013864",
            "telephone_number": "641-856-2688",
            "fax_number": "641-856-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659353670",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF IOWA",
            "identifier": "1659353670",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.