Sarah Wyatt, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

61434 Issued in TX

Practice address

5601 Manchaca Rd
Austin, TX 78745

Phone

(512) 414-7823

NPI assigned

Oct 13, 2015

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

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1255702510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 210A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047182",
            "telephone_number": "512-960-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-414-7823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Jackson Hill St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770077407",
            "country_code": "US",
            "telephone_number": "281-200-9120",
            "fax_number": "281-200-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "61434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WW Clinic PLLC
• Ariel Tynesha Cene Wyatt
• Christopher Ryan Wyatt, MD
• Frank David Wyatt Jr., MS,RD, CSO, LD
• Logan Alyse Wyatt
• Sarah K Wycheck
• Sandra R Wyers, MS, RDN
• Kellie R Wylie, LCSW
• Rigel Tenya Wymore, LCSW
• Mary L Wynn-Johnson, CRNA

• Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.