Organization Active NPI

Sydney Dickerson, LCSW-S, PLLC

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1558096941
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SYDNEY DICKERSON, LCSW-S, PLLC
Practice address
306 E Main St Ste 104
Round Rock, TX 78664-5220
Phone
(512) 934-4426
NPI assigned
Jul 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sydney Dickerson, LCSW-SNPI 1114322500
Title
Therapist
Phone
(512) 934-4426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

306 E Main St Ste 104
Round Rock, TX 78664-5220

Mailing address

306 E Main St Ste 104
Round Rock, TX 78664-5220
Phone (512) 934-4426

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558096941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST STE 104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645220",
            "telephone_number": "512-934-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST STE 104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645220",
            "telephone_number": "512-934-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYDNEY DICKERSON, LCSW-S, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "512-934-4426",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.