Sydney L Walden, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05142 Issued in IA

Practice address

410 S Michigan Ave Ste 928
Chicago, IL 60605-1399

Phone

(312) 248-3190

NPI assigned

Jan 8, 2010

Last updated

Jun 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 30, 2021 through Aug 30, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DK Therapy LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1386155943
  NPD (past)
• Horizons, a Family Service Alliance

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1376984088
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1114257425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S MICHIGAN AVE STE 928",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051399",
            "telephone_number": "312-248-3190",
            "fax_number": "312-764-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MICHIGAN AVE STE 928",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051399",
            "telephone_number": "312-248-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "SYDNEY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric L. Wald, MD
• Laura Ann Wald, MSW
• Ryann Challoner Wald
• Angela Lecia Walden, PHD
• John Dickson Walden
• Tajhshea Walden, MD
• Thomas Walden, DC
• Debora Ester Walder, BA
• Madeline Jean Walder, PHARMD.
• Kathryn Waldera, OTR/L

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.