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MICHAEL SUGAR LCSW
NPI 1023495926
Social Worker - Clinical in Lancaster, PA

Active since April 29, 2015PECOS Enrolled
218 N PINE ST, LANCASTER, PA 17603(410) 707-3919(171) 722-2524 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Sugar Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL SUGAR LCSW (NPI 1023495926) is an individual clinical provider in Lancaster, Pennsylvania, licensed in Pennsylvania (CW020427) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023495926
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL SUGARCredential: LCSW
Location Address218 N PINE STLancaster, PA 17603-3435
Mailing Address218 N Pine StLancaster, PA 17603-3435 · (410) 707-3919 · Fax (171) 722-2524
Phone(410) 707-3919
Fax(171) 722-2524
Sole ProprietorNo
Enumeration DateApril 29, 2015
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1023495926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW020427
Definition
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.
218 N PINE ST, Lancaster, PA 17603
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Sugar Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Sugar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Integration
1.0 mi
Clinical
1314 QUARRY LN
Lancaster, PA 17603
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1073229530 (717) 559-5030
Mental Health Specialty Group PA
313 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 111 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Sugar's NPI number?

The NPI number for Michael Sugar is 1023495926. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Michael Sugar located?

Michael Sugar practices at 218 N Pine St, Lancaster, PA 17603. The listed phone number is (410) 707-3919.

What is Michael Sugar's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Sugar enrolled in Medicare?

Yes. Michael Sugar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Sugar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sugar reassigns Medicare benefits to 2 organizations: Community Integration (Lancaster, PA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Sugar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Sugar was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.