Provider Demographics
NPI:1194271122
Name:ESTES, SYDNEY WRIGHT (LCSW/LCAS/LISW/IBCLC)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:WRIGHT
Last Name:ESTES
Suffix:
Gender:F
Credentials:LCSW/LCAS/LISW/IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 WHITEHALL CT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-9048
Mailing Address - Country:US
Mailing Address - Phone:803-493-6973
Mailing Address - Fax:
Practice Address - Street 1:2631 WHITEHALL CT
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-9048
Practice Address - Country:US
Practice Address - Phone:803-493-6973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24172101YA0400X
NCP012152101YP2500X
SC118111041C0700X
L-313968174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical