Active NPI
Sydney Morgan Dacosta, MSW, LICSW
- Clinical Social Worker
- Needham, MA
National Provider Identifier
1790332625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 126116
- Practice address
- 220 Reservoir St Ste 28
Needham, MA 02494-3133 - Phone
- (401) 497-1108
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 126116 | MA | Primary |
Addresses
Primary practice location
220 Reservoir St Ste 28
Needham, MA 02494-3133
Mailing address
83 Elmira St
Brighton, MA 02135-2849
Phone (401) 497-1108
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 |
|---|---|---|---|
| 126116 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1790332625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 ELMIRA ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352849",
"telephone_number": "401-497-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 RESERVOIR ST STE 28",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943133",
"telephone_number": "401-497-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACOSTA",
"first_name": "SYDNEY",
"middle_name": "MORGAN",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "126116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.