Active NPI
Valerie Jane Sydnor, LCSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1154636835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 79388
- Practice address
- 424 Stanton Ave #105
Oakland, CA 94610 - Phone
- (610) 906-6725
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 79388 | CA | Primary |
Addresses
Primary practice location
424 Stanton Ave #105
Oakland, CA 94610
Mailing address
490 Lake Park Ave Unit 10805
Oakland, CA 94610-8030
Phone (610) 906-6725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79388 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1154636835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 LAKE PARK AVE UNIT 10805",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946108030",
"telephone_number": "610-906-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 STANTON AVE #105",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "610-906-6725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYDNOR",
"first_name": "VALERIE",
"middle_name": "JANE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2022-04-04",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "79388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.