Individual provider Active NPI

Sydney Lametta Keith, MSW, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1114765633
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P022157 Issued in NC
Practice address
6416 Rea Rd Ste B7
Charlotte, NC 28277-4346
Phone
(704) 282-1661
NPI assigned
Jul 18, 2024
Reactivated
Jul 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P022157 NC Primary

Addresses

Primary practice location

6416 Rea Rd Ste B7
Charlotte, NC 28277-4346

Mailing address

6416 Rea Rd Ste B7
Charlotte, NC 28277-4346
Phone (704) 282-1661

Other names 1

  • Sydney Lametta Bresee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P022157NCMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1114765633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 REA RD STE B7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774346",
            "telephone_number": "704-282-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 REA RD STE B7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774346",
            "telephone_number": "704-282-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "SYDNEY",
        "middle_name": "LAMETTA",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "deactivation_date": "2025-06-10",
        "reactivation_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "BRESEE",
            "middle_name": "LAMETTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.