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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SIDARY SAM, MSW

Active

MR. SIDARY SAM, MSW is a Clinical Social Worker healthcare provider located in LONG BEACH, California. NPI 1962557900 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LONG BEACH, CA

Registration Details

NPI Number
1962557900
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2007 (19.513533230943 yrs)
Last Updated
Mar 8, 2021
Licenses
ASW 22278 (CA)
LCSW94013 (CA)

Practice Information

Address
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA, 908046914
Browse CA providers · Browse ZIP 90804
Phone
5623461100
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in LONG BEACH, CA

Name Credential NPI
MR. JOHN F PETEK LCSW 1528015989
LINDA BARRA M.S.W., L.C.S.W. 1881637429
MS. MARTHA F DAVIS LCSW 1336183938
MS. CAROLE BERGANT LCSW 1588609739
FRANK MARTINEZ LCSW 1821026139
ANN COSTA LCSW 1184652646
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.