Active NPI
David Abram Syfrett, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1639130339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004699
- Practice address
- 4150 Clement Street
Social Work Service
San Francisco, CA 94121 - Phone
- (414) 221-4810
- Fax
- (415) 750-6976
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW94797 | CA | |
| Clinical Social Worker | 1041C0700X | SW4891 | FL | |
| Clinical Social Worker | 1041C0700X | CSW004199 | GA | |
| Clinical Social Worker | 1041C0700X | C004699 | NC | Primary |
Addresses
Primary practice location
4150 Clement Street
Social Work Service
San Francisco, CA 94121
Mailing address
2006 NW 17TH LN
Social Work Service
Gainesville, FL 32605-3912
Phone (352) 642-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW94797 | CA | MD | Clinical Social Worker |
| SW4891 | FL | MD | Clinical Social Worker |
| CSW004199 | GA | MD | Clinical Social Worker |
| C004699 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1639130339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 NW 17TH LN",
"address_2": "SOCIAL WORK SERVICE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326053912",
"telephone_number": "352-642-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 CLEMENT STREET",
"address_2": "SOCIAL WORK SERVICE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94121",
"telephone_number": "414-221-4810",
"fax_number": "415-750-6976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYFRETT",
"first_name": "DAVID",
"middle_name": "ABRAM",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2022-05-27",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW94797",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW4891",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004199",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.