Provider Demographics
NPI:1346974821
Name:NELSON, SYDNEY NICOLE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:NICOLE
Last Name:NELSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:SYDNEY
Other - Middle Name:NICOLE
Other - Last Name:LOWERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36 W BERKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-2503
Mailing Address - Country:US
Mailing Address - Phone:484-804-0058
Mailing Address - Fax:
Practice Address - Street 1:200 N 7TH ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17046-5040
Practice Address - Country:US
Practice Address - Phone:717-769-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker