Individual provider Active NPI

Sydney Wheeler, LMSW

  • Social Worker
  • Irving, TX
National Provider Identifier
1487463824
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110422 Issued in TX
Practice address
1175 Kinwest Pkwy Ste 100
Irving, TX 75063-3409
Phone
(214) 940-9089
NPI assigned
Dec 31, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110422 TX Primary

Addresses

Primary practice location

1175 Kinwest Pkwy Ste 100
Irving, TX 75063-3409

Mailing address

1175 Kinwest Pkwy Ste 100
Irving, TX 75063-3409
Phone (214) 940-9089

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
110422TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Psychological Assessments, PLLC CurrentSince Jan 5, 2025 Accepting new patients
Dallas Therapeutic Services PLLC PastSince Jan 5, 2025 Accepting new patients

Locations

1175 Kinwest Pkwy
Ste 100
Irving, TX 75063
Phone (214) 940-9089

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1487463824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 KINWEST PKWY STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633409",
            "telephone_number": "214-940-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 KINWEST PKWY STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633409",
            "telephone_number": "214-940-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "SYDNEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "110422",
            "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 31, 2024; 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.