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MR. ANDREW C SIDOLI LMSW, LADAC
NPI 1639493323
Social Worker - Clinical in Salt Lake City, UT

Active since March 24, 2010PECOS Enrolled
10459 WEST 1300 SOUTH, #102, SALT LAKE CITY, UT 84095(801) 413-7683 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Andrew C Sidoli Lmsw, Ladac NPPES

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

MR. ANDREW C SIDOLI LMSW, LADAC (NPI 1639493323) is an individual clinical provider in Salt Lake City, Utah, licensed in New Mexico (M-08108) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639493323
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ANDREW C SIDOLICredential: LMSW, LADAC
Location Address10459 WEST 1300 SOUTH, #102Salt Lake City, UT 84095
Mailing Address2220 E Murray Holladay Rd Apt 6Salt Lake City, UT 84117-5314 · (505) 504-0260
Phone(801) 413-7683
Sole ProprietorYes
Enumeration DateMarch 24, 2010
Last NPPES UpdateOctober 24, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1639493323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NM · M-08108✔ Licensed in CA · 103202✔ Licensed in UT · 10084958-3501
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.
10459 WEST 1300 SOUTH, Salt Lake City, UT 84095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Andrew C Sidoli Lmsw, Ladac 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 84095 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 $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 Andrew Sidoli's NPI number?

The NPI number for Andrew Sidoli is 1639493323. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Where is Andrew Sidoli located?

Andrew Sidoli practices at 10459 West 1300 South #102, Salt Lake City, UT 84095. The listed phone number is (801) 413-7683.

What is Andrew Sidoli's specialty?

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

Is Andrew Sidoli enrolled in Medicare?

Yes. Andrew Sidoli is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Sidoli accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Andrew Sidoli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Sidoli was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.