SYDNEY JACQUELYN SMITH
NPI 1134680234
Social Worker - Clinical in Peoria, IL

Active since March 29, 2019PECOS Enrolled
7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615(309) 589-6800 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sydney Jacquelyn Smith NPPES

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

SYDNEY JACQUELYN SMITH (NPI 1134680234) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (149015809) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134680234
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSYDNEY JACQUELYN SMITH
Location Address7717 N ORANGE PRAIRIE RDPeoria, IL 61615-9323
Mailing Address7717 N Orange Prairie RdPeoria, IL 61615-9323 · (309) 589-6800
Sole ProprietorNo
Enumeration DateMarch 29, 2019
NPI 1134680234 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 IL · 149015809
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.
7717 N ORANGE PRAIRIE RD, Peoria, IL 61615

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sydney Jacquelyn Smith 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Social Worker
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Social Worker
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Clinic/Center (VA)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Nurse Practitioner (Family)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615

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 Sydney Smith's NPI number?

The NPI number for Sydney Smith is 1134680234. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Sydney Smith located?

Sydney Smith practices at 7717 N Orange Prairie Rd, Peoria, IL 61615. The listed phone number is (309) 589-6800.

What is Sydney Smith's specialty?

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

Is Sydney Smith enrolled in Medicare?

Yes. Sydney Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sydney Smith was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.