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MR. SIDARY SAM MSW NPI 1962557900


NPI Information

NPI: 1962557900
Provider Name: MR. SIDARY SAM, MSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA
ZIP 90804
Phone: (562) 346-1100
Get Directions

MR. Sidary Sam, MSW is a clinical social worker in Long Beach, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MR. Sidary Sam, MSW NPI is 1962557900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA
ZIP 90804-914
Phone: (562) 346-1100

The enumeration date for this NPI number is 1/23/2007 and was last updated on 3/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthASW 22278CALIFORNIANo
21041C0700XSocial WorkerClinicalLCSW94013CALIFORNIAYes
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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