Individual provider Active NPI

Natalie Nicole Sidbury

  • Clinical Social Worker
  • Greenbelt, MD
National Provider Identifier
1629662952
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22106 Issued in MD
Practice address
207 Lakeside Dr Apt T2
Greenbelt, MD 20770-2911
Phone
(202) 603-4957
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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 22106 MD Primary

Addresses

Primary practice location

207 Lakeside Dr Apt T2
Greenbelt, MD 20770-2911

Mailing address

207 Lakeside Dr Apt T2
Greenbelt, MD 20770-2911
Phone (202) 603-4957

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nsidbury@clayshc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20210317000048 DC Practitioner - Clinical Social Worker 5092121020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Changing Lives Adult and Youth ServicesGroup PAC ID 5395082812, 8 clinicians

Practice addresses (Care Compare)

4810 Saint Barnabas Rd
Suite 203
Temple Hills, MD 20748-4604
Phone (301) 541-0963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22106MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Lives Adult & Youth Services CurrentSince Dec 12, 2020 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 25, 2023 Accepting new patients

Locations

4810 Saint Barnabas Rd
Ste 203
Temple Hills, MD 20748
Phone (301) 541-0963

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1629662952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LAKESIDE DR APT T2",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702911",
            "telephone_number": "202-603-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LAKESIDE DR APT T2",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702911",
            "telephone_number": "202-603-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDBURY",
        "first_name": "NATALIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsidbury@clayshc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "207 Lakeside Dr Apt T2",
            "city": "Greenbelt",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207702911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.