Individual provider Active NPI

Emily Sledge, LCSW

  • Clinical Social Worker
  • Irving, TX
National Provider Identifier
1326617853
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105100 Issued in TX
Practice address
300 Decker Dr Ste 360
Irving, TX 75062-8189
Phone
(469) 954-8002
NPI assigned
Jun 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 105100 TX Primary

Addresses

Primary practice location

300 Decker Dr Ste 360
Irving, TX 75062-8189

Mailing address

2457 Campfire LN
Frisco, TX 75033-7619
Phone (314) 677-0925

Other practice location 1

8350 Meadow Rd Ste 265
Dallas, TX 75231-4275
Phone (214) 432-3075

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

LicenseStateTypeSpecialty
105100TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aum Integral Wellness CurrentSince Jun 27, 2021 Accepting new patients

Locations

8350 Meadow Rd
Ste 265
Dallas, TX 75231
Phone (214) 432-3075

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.

NPI Registry JSON

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1326617853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 CAMPFIRE LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750337619",
            "telephone_number": "314-677-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DECKER DR STE 360",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628189",
            "telephone_number": "469-954-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8350 Meadow Rd Ste 265",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314275",
            "country_code": "US",
            "telephone_number": "214-432-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.