Active NPI
Sydney Laura Pollock-Tobert, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1376912261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 088547
- Practice address
- 27 W 96TH St Ste Aoffice2
New York, NY 10025-6607 - Phone
- (201) 417-5597
- NPI assigned
- Sep 21, 2015
- 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 | 097718 | NY | |
| Clinical Social Worker | 1041C0700X | 088547 | NY | Primary |
Addresses
Primary practice location
27 W 96TH St Ste Aoffice2
New York, NY 10025-6607
Mailing address
295 Central Park W Ofc 2
New York, NY 10024-3021
Phone (201) 417-5597
Other practice location 1
245 W 29th St Rm 405
New York, NY 10001-5437
Phone (201) 417-5597
Other practice location 2
1301 5th Ave
1st Floord
New York, NY 10029-3119
Phone (212) 426-3400
Other practice location 3
244 Madison Ave # 1435
New York, NY 10016-2817
Phone (347) 979-7105
Other practice location 4
208 Washington Park Apt 1B
Brooklyn, NY 11205-4023
Phone (201) 417-5597
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827002116 | NY | Order and Referring Only - Clinical Social Worker | 8325376452 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097718 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1376912261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 CENTRAL PARK W OFC 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243021",
"telephone_number": "201-417-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 W 96TH ST STE AOFFICE2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256607",
"telephone_number": "201-417-5597"
}
],
"practiceLocations": [
{
"address_1": "245 W 29th St Rm 405",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100015437",
"country_code": "US",
"telephone_number": "201-417-5597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 5th Ave",
"address_2": "1st Floord",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100293119",
"country_code": "US",
"telephone_number": "212-426-3400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "244 Madison Ave # 1435",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100162817",
"country_code": "US",
"telephone_number": "347-979-7105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 Washington Park Apt 1B",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112054023",
"country_code": "US",
"telephone_number": "201-417-5597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLLOCK-TOBERT",
"first_name": "SYDNEY",
"middle_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "097718",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.