Jesse Sias, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56398 Issued in TX

Practice address

3628 Northcrest Dr
Cleburne, TX 76031-7925

Phone

(817) 357-6309

NPI assigned

Apr 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  TX

  Medicare reassignment Care Compare group NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  TX

  Medicare reassignment NPD
• Resilience Coaching and Counseling

  • Clinical Social Worker
  • Cleburne, TX
  • NPI 1619497526
  NPD Authorized official

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1861927261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 NORTHCREST DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760317925",
            "telephone_number": "817-357-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 NORTHCREST DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760317925",
            "telephone_number": "817-357-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAS",
        "first_name": "JESSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H Shaw, M.D.
• Harry Shen
• Sandeep Singh Sheoran
• Ronald Thomas Sherwood, DDS
• Shandah Star Shinn
• Schaylite R Sibley Jr.
• Susanne Marie Simmerman, P.T., SC.D., O.C.S.
• Charles Wesley Smith
• Wade Hamrick Smith, M.D.
• SMR Diagnostics LTD

• Clinical Social Worker in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.