SYDNEY HENCK (LCSW) – Clinical Social Worker, NPI 1023879319

SYDNEY HENCK (LCSW) is a healthcare provider. based in New haven, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 12531 (CT). The NPI Number for SYDNEY HENCK (LCSW) is 1023879319

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SYDNEY HENCK (LCSW)
NPI
1023879319
Phone
(203) 777-7411
Address
374 GRAND AVE
Enumeration Date
23 January 2024
Last Update Date
23 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
0042745473
Group Practice PAC ID
4183511538
Professional Enrollment ID
I20241122000135
Address ID
CT065130000NE374XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

Provider Addresses for SYDNEY HENCK (LCSW)

  • 374 GRAND AVE

    NEW HAVEN, CT 065133733

    Phone: (203) 777-7411

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241122000135IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06513)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183511538View full group profile
NameSpecialtyState
Nurse PractitionerCT
-GA
-CT
Nurse PractitionerCT
Family PracticeCT
Family PracticeCT
-CT
-CT
Internal Medicine, Geriatric MedicineIL
Marriage And Family TherapistCT

Reviews

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Frequently asked questions

What number should I use to identify SYDNEY HENCK (LCSW) for billing?
Administrative and clinical systems typically use NPI 1023879319 for SYDNEY HENCK (LCSW).
Quick check: is SYDNEY HENCK (LCSW) active?
Public NPPES data shows SYDNEY HENCK (LCSW) with an active NPI status right now.
What services align with SYDNEY HENCK (LCSW)'s listing?
SYDNEY HENCK (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to SYDNEY HENCK (LCSW)?
SYDNEY HENCK (LCSW) shows a connection to New Haven, Connecticut in registry-derived data.
Can I export SYDNEY HENCK (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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