Individual provider Active NPI

Sydney Bright Warren, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1174742779
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2561 Issued in OK
Practice address
3441 W Memorial Rd
Oklahoma City, OK 73134-7000
Phone
(405) 820-1810
Fax
(405) 438-3815
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 2561 OK Primary

Addresses

Primary practice location

3441 W Memorial Rd
Oklahoma City, OK 73134-7000

Mailing address

PO Box 54821
Oklahoma City, OK 73154-1821
Phone (405) 820-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000117 OK Practitioner - Clinical Social Worker 1456452424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3441 W Memorial Rd
Suite 5
Oklahoma City, OK 73134-7000
Phone (405) 820-1810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2561OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Transitions, LLC Clinical CurrentSince Dec 7, 2017 Accepting new patients
Shantharam Darbe M D P C Clinical Past Accepting new patients

Locations

3441 W Memorial Rd
Ste 5
Oklahoma City, OK 73134
Phone (405) 415-4182

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1174742779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54821",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731541821",
            "telephone_number": "405-820-1810",
            "fax_number": "405-438-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731347000",
            "telephone_number": "405-820-1810",
            "fax_number": "405-438-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SYDNEY",
        "middle_name": "BRIGHT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.