Provider Demographics
NPI:1033990072
Name:SMYK, SYDNEY (LCSW)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:SMYK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16529 COASTAL HWY UNIT 120
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3697
Mailing Address - Country:US
Mailing Address - Phone:302-519-9041
Mailing Address - Fax:302-644-6768
Practice Address - Street 1:16529 COASTAL HWY UNIT 120
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3697
Practice Address - Country:US
Practice Address - Phone:302-519-9041
Practice Address - Fax:302-644-6768
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-0012339101Y00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor