Provider Demographics
NPI:1801864863
Name:ORDONIO, SYDNEY ADAMS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:ADAMS
Last Name:ORDONIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 GREEN OAK PL STE 250
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2044
Mailing Address - Country:US
Mailing Address - Phone:281-608-1346
Mailing Address - Fax:832-426-1648
Practice Address - Street 1:1521 GREEN OAK PL STE 250
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2044
Practice Address - Country:US
Practice Address - Phone:281-608-1346
Practice Address - Fax:832-426-1648
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX635852Medicaid