Individual provider Active NPI

Sydney Kayla Jobe, LCSW

  • Clinical Social Worker
  • Lufkin, TX
National Provider Identifier
1639055098
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110523 Issued in TX
Practice address
2001 S Medford Dr
Lufkin, TX 75901-6260
Phone
(936) 633-5650
NPI assigned
Aug 12, 2025
Last updated
Aug 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 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 110523 TX Primary

Addresses

Primary practice location

2001 S Medford Dr
Lufkin, TX 75901-6260

Mailing address

2001 S Medford Dr
Lufkin, TX 75901-6260
Phone (936) 633-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828002876 TX Practitioner - Clinical Social Worker 8022519396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

138 Hoover Ave
San Antonio, TX 78225-2304

2001 S Medford Dr
Lufkin, TX 75901-6260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Center CurrentSince Aug 7, 2025 Accepting new patients

Locations

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

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, 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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1639055098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-633-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-633-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBE",
        "first_name": "SYDNEY",
        "middle_name": "KAYLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.