Individual provider Active NPI

Sasheen Nicholas, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1255221628
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105590 Issued in TX
Practice address
2922B Martin Luther King Jr Blvd
Dallas, TX 75215-2321
Phone
(214) 426-3645
NPI assigned
Jul 8, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 105590 TX Primary

Addresses

Primary practice location

2922B Martin Luther King Jr Blvd
Dallas, TX 75215-2321

Mailing address

350 Unbridled Rd
Waxahachie, TX 75165-2329
Phone (910) 364-6154

Other practice location 1

3515 Shepherd Ln
Balch Springs, TX 75180-2325
Phone (214) 426-3645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250903004203 TX Practitioner - Clinical Social Worker 0143722728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

350 Unbridled Rd
Waxahachie, TX 75165-2329

PO Box
Suite 150128
Dallas, TX 75315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Family Clinic CurrentSince Jul 1, 2025 Accepting new patients
Dallas County Mental Health & Mental Retardation Center PastSince Jul 1, 2025 Accepting new patients

Locations

3515 Shepherd Ln
Balch Springs, TX 75180
Phone (214) 426-3645

2922 Martin Luther King Jr Blvd
Dallas, TX 75215
Phone (214) 426-3645

2922 Mlk Blvd
#B
Dallas, TX 75215
Phone (214) 425-3645

Interoperability endpoints

  • Direct secure messaging: sasheen.nicholas.1@17390.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1255221628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 UNBRIDLED RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652329",
            "telephone_number": "910-364-6154",
            "fax_number": "844-598-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922B MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152321",
            "telephone_number": "214-426-3645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3515 Shepherd Ln",
            "address_purpose": "LOCATION",
            "city": "Balch Springs",
            "state": "TX",
            "postal_code": "751802325",
            "country_code": "US",
            "telephone_number": "214-426-3645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "SASHEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.