Provider Demographics
NPI:1003683152
Name:JANKOWSKI, SYDNEY CATHERINE (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:SYDNEY
Middle Name:CATHERINE
Last Name:JANKOWSKI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ANNA LN
Mailing Address - Street 2:
Mailing Address - City:ULSTER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12487-5000
Mailing Address - Country:US
Mailing Address - Phone:845-389-0447
Mailing Address - Fax:
Practice Address - Street 1:10 ANNA LN
Practice Address - Street 2:
Practice Address - City:ULSTER PARK
Practice Address - State:NY
Practice Address - Zip Code:12487-5000
Practice Address - Country:US
Practice Address - Phone:845-389-0447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121588104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker