Individual provider Active NPI

Sydney Keesler, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1497418917
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025696 Issued in PA
Practice address
1700 Sansom St FL 11
Philadelphia, PA 19103-5245
Phone
(215) 563-7863
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X 114249 NY
Clinical Social Worker 1041C0700X CW025696 PA Primary

Addresses

Primary practice location

1700 Sansom St FL 11
Philadelphia, PA 19103-5245

Mailing address

1505 E Passyunk Ave Apt 3
Philadelphia, PA 19147-6394
Phone (855) 610-7244

Other practice location 1

3671 Southwestern Blvd Ste 209
Orchard Park, NY 14127-1749
Phone (716) 895-7207 ext. 4805

Other names 1

  • Sydney Keesler Former name

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

LicenseStateTypeSpecialty
114249NYMDSocial Worker
CW025696PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy With Syd Clinical CurrentSince Sep 28, 2025 Accepting new patients
Walnut Psychotherapy Center Social Worker CurrentSince Apr 13, 2025 Accepting new patients
Mid Erie Mental Health Services Inc Counselor PastSince Oct 1, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1497418917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E PASSYUNK AVE APT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476394",
            "telephone_number": "855-610-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SANSOM ST FL 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035245",
            "telephone_number": "215-563-7863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3671 Southwestern Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271749",
            "country_code": "US",
            "telephone_number": "716-895-7207 x4805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEESLER",
        "first_name": "SYDNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114249",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "KEESLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.