Provider Demographics
NPI:1225775117
Name:NELSON, SYDNEY RAE-SAIDOO (LMSW, MA, TLLP)
Entity Type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:RAE-SAIDOO
Last Name:NELSON
Suffix:
Gender:F
Credentials:LMSW, MA, TLLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3426 SEYMOUR RD
Mailing Address - Street 2:
Mailing Address - City:SWARTZ CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:48473-9785
Mailing Address - Country:US
Mailing Address - Phone:810-569-2957
Mailing Address - Fax:
Practice Address - Street 1:3940 RANCHERO DR STE 100
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-3900
Practice Address - Country:US
Practice Address - Phone:734-222-9277
Practice Address - Fax:888-972-3797
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010980541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical