Provider Demographics
NPI:1750928107
Name:POINEAU, SYDNEY (LMSW)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:POINEAU
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:WENDELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:525 W 14TH ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-4061
Mailing Address - Country:US
Mailing Address - Phone:231-714-0282
Mailing Address - Fax:
Practice Address - Street 1:525 W 14TH ST UNIT D
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-4061
Practice Address - Country:US
Practice Address - Phone:231-714-0282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI680110579101YA0400X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)