Provider Demographics
NPI:1194318527
Name:CORRIDERS, SYDNEE R (LCSW)
Entity type:Individual
Prefix:MS
First Name:SYDNEE
Middle Name:R
Last Name:CORRIDERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 JACLYN DR
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205-3263
Mailing Address - Country:US
Mailing Address - Phone:347-395-1103
Mailing Address - Fax:
Practice Address - Street 1:118 JACLYN DR
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13205-3263
Practice Address - Country:US
Practice Address - Phone:347-395-1103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical