Individual provider Active NPI

Sydney C McDonaldd, MSW

  • Clinical Social Worker
  • Portage, WI
National Provider Identifier
1245954072
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12511-123 Issued in WI
Practice address
2901 Hunters TRL
Portage, WI 53901-3403
Phone
(608) 742-5518
Fax
(608) 742-4087
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 132929 WI
Clinical Social Worker 1041C0700X 12511-123 WI Primary

Addresses

Primary practice location

2901 Hunters TRL
Portage, WI 53901-3403

Mailing address

PO Box 301
Portage, WI 53901-0301
Phone (608) 742-5518

Other identifiers 1

IdentifierTypeStateIssuer
1245954072MedicaidWI

Other names 1

  • Sydney C Bendorf Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016002599 WI Practitioner - Clinical Social Worker 9537656111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Service Associates, SCGroup PAC ID 8426948746, 34 clinicians

Practice addresses (Care Compare)

2901 Hunters TRL
Portage, WI 53901-3403
Phone (608) 742-5518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132929WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Service Associates, SC CurrentSince Aug 13, 2025 Accepting new patients

Locations

2702 International Ln
Ste 102
Madison, WI 53704
Phone (608) 280-2636

2702 International Ln
Madison, WI 53704
Phone (608) 405-5712

2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518

1221 Innovation Dr
Ste 221
Whitewater, WI 53190
Phone (262) 473-0670

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1245954072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539010301",
            "telephone_number": "608-742-5518",
            "fax_number": "608-742-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 HUNTERS TRL",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539013403",
            "telephone_number": "608-742-5518",
            "fax_number": "608-742-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALDD",
        "first_name": "SYDNEY",
        "middle_name": "C",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "132929",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12511-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245954072",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "BENDORF",
            "middle_name": "C",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portage, WI

Sources for this page

Verify at the official NPI Registry.