Individual provider Active NPI

Sydney Adams, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1427474030
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005107 Issued in GA
Practice address
190 Fitzgerald PL
Atlanta, GA 30349-1079
Phone
(617) 908-7477
NPI assigned
Mar 7, 2014
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 CSW005107 GA Primary

Addresses

Primary practice location

190 Fitzgerald PL
Atlanta, GA 30349-1079

Mailing address

190 Fitzgerald PL
Atlanta, GA 30349-1079
Phone (617) 908-7477

Other practice location 1

1807 Honey Creek Cmns SE Ste A&b
Conyers, GA 30013-5837
Phone (678) 374-2959

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Quality Care Solutions, LLC PastSince Feb 3, 2016 Accepting new patients

Organizations & group practices 1

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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1427474030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 FITZGERALD PL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491079",
            "telephone_number": "617-908-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 FITZGERALD PL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491079",
            "telephone_number": "617-908-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1807 Honey Creek Cmns SE Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300135837",
            "country_code": "US",
            "telephone_number": "678-374-2959",
            "fax_number": "678-224-8970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SYDNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.