Individual provider Active NPI

Sidney Gene Sebastian, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1790452894
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255495 Issued in KY
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

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504001504 KY Practitioner - Clinical Social Worker 4587051982 Reassigns benefits to 5 organizations

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Total Life IncGroup PAC ID 8123433034, 113 clinicians
PPL Therapeutic Services PLLCGroup PAC ID 8527323989, 30 clinicians

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

OrganizationSpecialtyStatusNew patients
Total Life FL PA Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
2ND Chance Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Clinical Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
2ND Chance Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
PPL Therapeutic Services PLLC Clinical CurrentSince Jun 16, 2022 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.

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

Verify at the official NPI Registry.