Active NPI
Sydney George, LMSW
- Addiction (Substance Use Disorder) Counselor
- Overland Park, KS
National Provider Identifier
1275948721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 095
- Practice address
- 11791 W 112TH St
Suite 102
Overland Park, KS 66210-2737 - Phone
- (913) 636-2454
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4621 | KS | |
| Clinical Social Worker | 1041C0700X | 9049 | KS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 095 | KS | Primary |
Addresses
Primary practice location
11791 W 112TH St
Suite 102
Overland Park, KS 66210-2737
Mailing address
11791 W 112TH St
Suite 102
Overland Park, KS 66210-2737
Phone (913) 636-2454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4621 | KS | MD | Clinical Social Worker |
| 9049 | KS | MD | Clinical Social Worker |
| 095 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1275948721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11791 W 112TH ST",
"address_2": "SUITE 102",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102737",
"telephone_number": "913-636-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11791 W 112TH ST",
"address_2": "SUITE 102",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102737",
"telephone_number": "913-636-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "SYDNEY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4621",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "9049",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.