Active NPI
Lorna G Sedillos, MSW
- Clinical Social Worker
- Sierra Vista, AZ
National Provider Identifier
1295052579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 2922
- Practice address
- 333 W Wilcox Dr
Suite 303
Sierra Vista, AZ 85635-1789 - Phone
- (520) 458-2250
- Fax
- (520) 458-2269
- NPI assigned
- Apr 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 2922 | AZ | Primary |
Addresses
Primary practice location
333 W Wilcox Dr
Suite 303
Sierra Vista, AZ 85635-1789
Mailing address
333 W Wilcox Dr
Suite 303
Sierra Vista, AZ 85635-1789
Phone (520) 458-2250
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 2922 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tides of Change | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Sierra Vista, AZ
- NPI 1811273568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1295052579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W WILCOX DR",
"address_2": "SUITE 303",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856351789",
"telephone_number": "520-458-2250",
"fax_number": "520-458-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W WILCOX DR",
"address_2": "SUITE 303",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856351789",
"telephone_number": "520-458-2250",
"fax_number": "520-458-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDILLOS",
"first_name": "LORNA",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-27",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW 2922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.