Provider Demographics
NPI:1013620087
Name:PAPPAS, SYDNEY PRATT (LCSW)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:PRATT
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:LOUISE
Other - Last Name:PRATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:10432 N SINCLAIR CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-3488
Mailing Address - Country:US
Mailing Address - Phone:559-579-8582
Mailing Address - Fax:
Practice Address - Street 1:2490 W SHAW AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3063
Practice Address - Country:US
Practice Address - Phone:559-248-8579
Practice Address - Fax:559-320-0058
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW144881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical