Provider Demographics
NPI:1811558679
Name:CONCHA, SYDNEY (MSW U/S)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:CONCHA
Suffix:
Gender:F
Credentials:MSW U/S
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:709 REDVINE RD
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-0279
Mailing Address - Country:US
Mailing Address - Phone:479-301-6734
Mailing Address - Fax:
Practice Address - Street 1:5131 N CLASSEN BLVD # 110
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-5258
Practice Address - Country:US
Practice Address - Phone:405-767-1126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical