Individual provider Active NPI

Sherry Dawn Sic

  • Clinical Social Worker
  • Surprise, AZ
National Provider Identifier
1417825746
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23348 Issued in AZ
Practice address
15025 W Old Oak LN Unit 1067
Surprise, AZ 85379-6183
Phone
(928) 273-1847
NPI assigned
Oct 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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 LCSW-23348 AZ Primary

Addresses

Primary practice location

15025 W Old Oak LN Unit 1067
Surprise, AZ 85379-6183

Mailing address

15025 W Old Oak LN Unit 1067
Surprise, AZ 85379-6183
Phone (928) 273-1847

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
LCSW-23348AZMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: sherry.sicbht.p1@direct.cbridges.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1417825746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15025 W OLD OAK LN UNIT 1067",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796183",
            "telephone_number": "928-273-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15025 W OLD OAK LN UNIT 1067",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796183",
            "telephone_number": "928-273-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIC",
        "first_name": "SHERRY",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.