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MR. SIDARY SAM MSW
NPI 1962557900
Social Worker - Clinical in Long Beach, CA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
4510 E PACIFIC COAST HWY STE 600, LONG BEACH, CA 90804(562) 346-1100 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Sidary Sam Msw NPPES

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

MR. SIDARY SAM MSW (NPI 1962557900) is an individual clinical provider in Long Beach, California, licensed in California (LCSW94013) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962557900
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SIDARY SAMCredential: MSW
Location Address4510 E PACIFIC COAST HWY STE 600Long Beach, CA 90804-6914
Mailing Address4510 E Pacific Coast Hwy Ste 600Long Beach, CA 90804-6914 · (562) 346-1100
Phone(562) 346-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1962557900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW94013
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW 22278 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4510 E PACIFIC COAST HWY STE 600, Long Beach, CA 90804
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Other Names 1

Professional Name (2)Mr. Sidary Sam

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Sidary Sam Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466970793
PECOS Enrollment IDI20250527001727
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 90804 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

LAILA SITHY HUSSAIN DO
Psychiatry & Neurology (Psychiatry)
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA 90804
Los Angeles County (562) 346-1100
HENGJIA JIAN
Student in an Organized Health Care Education/Training Program
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA 90804
Los Angeles County (562) 346-1100
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA 90804
Los Angeles County (562) 346-1100
MR. SHAWN EDWARD ROQUE
Day Training/Habilitation Specialist
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA 90804
Los Angeles County (562) 346-1100
SOCHETRA HONG
Social Worker
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA 90804
Los Angeles County (562) 346-1100
MATTHEW MA
Day Training/Habilitation Specialist
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA 90804
Los Angeles County (562) 346-1100
JAMES ANDREW ROBERTS LCSW
Social Worker (Clinical)
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA 90804
Los Angeles County (562) 346-1100
MS. ANGELA LU LMFT
Marriage & Family Therapist
4510 E PACIFIC COAST HWY STE 600
LONG BEACH, CA 90804
Los Angeles County (562) 346-1100

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 Sidary Sam's NPI number?

The NPI number for Sidary Sam is 1962557900. It was assigned to this individual provider in the NPPES registry on January 23, 2007. The provider is also known as Mr. Sidary Sam.

Where is Sidary Sam located?

Sidary Sam practices at 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804. The listed phone number is (562) 346-1100.

What is Sidary Sam's specialty?

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

Is Sidary Sam enrolled in Medicare?

Yes. Sidary Sam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sidary Sam was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.