Active NPI
Sylvia Jean Wimberly, LCSW
- Clinical Social Worker
- Barksdale AFB, LA
National Provider Identifier
1649405846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2603
- Practice address
- 243 Curtis Road
BLDG. 4546, Suite 100
Barksdale AFB, LA 71110 - Phone
- (318) 456-6595
- NPI assigned
- May 18, 2009
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2603 | LA | Primary |
Addresses
Primary practice location
243 Curtis Road
BLDG. 4546, Suite 100
Barksdale AFB, LA 71110
Mailing address
243 Curtis Road
BLDG. 4546, Suite 100
Barksdale AFB, LA 71110
Phone (318) 456-6595
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 |
|---|---|---|---|
| 2603 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1649405846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CURTIS ROAD",
"address_2": "BLDG. 4546, SUITE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "71110",
"telephone_number": "318-456-6595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CURTIS ROAD",
"address_2": "BLDG. 4546, SUITE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "71110",
"telephone_number": "318-456-6595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMBERLY",
"first_name": "SYLVIA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "2603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barksdale AFB, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.