Active NPI
Sibbie McCary
- Social Worker
- Jacksonville, FL
National Provider Identifier
1609116557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M5695
- Practice address
- 4161 Carmichael Ave
3300 Building, Suite 150
Jacksonville, FL 32207-2353 - Phone
- (904) 396-8737
- NPI assigned
- Feb 28, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M5695 | OR | Primary |
Addresses
Primary practice location
4161 Carmichael Ave
3300 Building, Suite 150
Jacksonville, FL 32207-2353
Mailing address
4161 Carmichael Ave
3300 Building, Suite 150
Jacksonville, FL 32207-2353
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 |
|---|---|---|---|
| M5695 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1609116557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 CARMICHAEL AVE",
"address_2": "3300 BUILDING, SUITE 150",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322072353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 CARMICHAEL AVE",
"address_2": "3300 BUILDING, SUITE 150",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322072353",
"telephone_number": "904-396-8737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARY",
"first_name": "SIBBIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "M5695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.