Individual provider Active NPI

Sydney Concha, MSW U/S

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1811558679
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5131 N Classen Blvd # 110
Oklahoma City, OK 73118-5258
Phone
(405) 767-1126
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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 Primary

Addresses

Primary practice location

5131 N Classen Blvd # 110
Oklahoma City, OK 73118-5258

Mailing address

709 Redvine Rd
Yukon, OK 73099-0279
Phone (479) 301-6734

Other names 1

  • Sydney Newman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20260107000357 OK Practitioner - Clinical Social Worker 6507352861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

620 NW 5TH St
Suite D
Moore, OK 73160-3947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Dec 17, 2025 Accepting new patients

Locations

4107 N Council Rd
Ste E1
Bethany, OK 73008

620 NW 5th St
Ste D
Moore, OK 73160

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1811558679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 REDVINE RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990279",
            "telephone_number": "479-301-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 N CLASSEN BLVD # 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185258",
            "telephone_number": "405-767-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCHA",
        "first_name": "SYDNEY",
        "credential": "MSW U/S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "NEWMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.