Active NPI
Sidney Gene Sebastian, LCSW
- Clinical Social Worker
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 255495
- Practice address
- 177 Burt Rd
Lexington, KY 40503-2457 - Phone
- (859) 687-9725
- NPI assigned
- Aug 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 255495 | KY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 255495 | KY |
Addresses
Primary practice location
177 Burt Rd
Lexington, KY 40503-2457
Mailing address
177 Burt Rd
Lexington, KY 40503
Phone (859) 687-9725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1840 Cumberland Falls Hwy
Corbin, KY 40701-2729
Phone (606) 526-4428
312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (800) 567-5433
3576 Pimlico Pkwy
Lexington, KY 40517-3700
Phone (859) 272-0608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life FL PA | Single Specialty | Current | Accepting new patients |
| 2ND Chance | Single Specialty | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Clinical | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| 2ND Chance | Single Specialty | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Single Specialty | Current | Accepting new patients |
| PPL Therapeutic Services PLLC | Clinical | Current | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
1840 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 526-4428
100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111
3576 Pimlico Pkwy
Lexington, KY 40517
Phone (859) 252-6676
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
1420 N Broadway
Lexington, KY 40505
Phone (859) 255-4411
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
Organizations & group practices 8
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Lexington, KY
- NPI 1215348214
Single Specialty
-
- Nurse Practitioner
- Nicholasville, KY
- NPI 1255805586
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1790452894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 BURT RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40503",
"telephone_number": "859-687-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 BURT RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032457",
"telephone_number": "859-687-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "SIDNEY",
"middle_name": "GENE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "255495",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "255495",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.