Sarah Ryan Wellborn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56816 Issued in TX

Practice address

4200 S Hulen St Ste 678
Fort Worth, TX 76109-7902

Phone

(817) 203-4779

NPI assigned

Feb 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evolving Mind Solutions, LLC

  • Adult Mental Health Clinic/Center
  • Fort Worth, TX
  • NPI 1326681354
  NPD Authorized official
• Alliance Kids Care

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1902471451
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1225577471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 678",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761097902",
            "telephone_number": "817-203-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 678",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761097902",
            "telephone_number": "817-203-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLBORN",
        "first_name": "SARAH",
        "middle_name": "RYAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kibrom S Weldemichael
• Weldon Medical Clinic PA
• Bill Ed Weldon, D.O.
• Well Counseling Group
• Well Counseling Services LLC
• Wellcare Pharmacy LLC
• Wellcare Transport LLC
• Wellington Emergency Specialists, LLC
• Wellington Oaks Nursing and Rehabilitation LP
• Audra Wellington, LVN, BSC, CLC

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.