Sydney Dethomasis
Individual provider Active NPI School Social Worker · Middleburgh, NY
NPI 1538059175 · NPPES record last updated Jul 7, 2025
Key facts
- NPI
- 1538059175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- 125675-01 (NY)
- Practice address
- 245 Main St
Middleburgh, NY 12122-6308 - Phone
- (518) 827-3600
- NPI assigned
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125675-01 | NY | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 125675-01 | NY | Yes |
Addresses
Primary practice location
245 Main St
Middleburgh, NY 12122-6308
Mailing address
245 Main St
Middleburgh, NY 12122-6308
Other providers in Middleburgh, NY
- Bassett Healthcare Middleburgh
- Peter H Bennett
- Diane Fay Carrk
- Joanne P Coonradt
- Jenna Crull
- Sierra Diamond
- Lisa M Donnini
- Faith Fisk
- Caroline M Gomez-Di Cesare
- Aaron I Harrison
All providers in Middleburgh, NY · School Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.