Sydney Jenkins

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016519 Issued in NC

Practice address

8604 Cliff Cameron Dr Ste 152
Charlotte, NC 28269-8526

Phone

(704) 510-5600

NPI assigned

Jan 4, 2023

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

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sanctuary Counseling Group

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1386785251
  Medicare reassignment NPD (past)
• Youth Villages, Inc.

  • Community/Behavioral Health Agency
  • Bartlett, TN
  • NPI 1306875695
  NPD (past)

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1255044202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 CLIFF CAMERON DR STE 152",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 CLIFF CAMERON DR STE 152",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698526",
            "telephone_number": "704-510-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Jenkins, LCMHC
• Latesha Jenkins
• Lauren Jenkins, M.D.
• Sheri McClellan Jenkins, MD
• Stephanie Jenkins
• Tameka Denise Jenkins, MS, LPC
• Tiffany Lavette Jenkins, LPC
• Timothy Owen Jenkins, M.D.
• Elizabeth Ann Jenks, BCBA
• Michael A Jenks, CPO

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.