Individual provider Active NPI

Sydney Alderson, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1780396390
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025993 Issued in IL
Practice address
4423 N Ravenswood Ave
Chicago, IL 60640-5802
Phone
(773) 572-5500
NPI assigned
Dec 15, 2022
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.025993 IL Primary

Addresses

Primary practice location

4423 N Ravenswood Ave
Chicago, IL 60640-5802

Mailing address

7415 Eagle Vista PL
Indianapolis, IN 46259-7706
Phone (317) 607-3220

Other practice location 1

732 W Bittersweet Pl Apt 104
Chicago, IL 60613-2348
Phone (317) 607-3220

Other identifiers 1

IdentifierTypeStateIssuer
1780396390MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250507001775 IL Practitioner - Clinical Social Worker 0749707347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The ThresholdsGroup PAC ID 6204826647, 20 clinicians

Practice addresses (Care Compare)

4423 N Ravenswood Ave
Chicago, IL 60640-5802
Phone (773) 572-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025993ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Thresholds CurrentSince Apr 22, 2025 Accepting new patients
The Thresholds CurrentSince Apr 22, 2025 Accepting new patients
Ambedo Psychotherapy PLLC Clinical CurrentSince Jun 15, 2025 Accepting new patients
The Thresholds Current Accepting new patients
The Thresholds Past Accepting new patients

Locations

4101 N Ravenswood Ave
Chicago, IL 60613
Phone (773) 572-5434

4423 N Ravenswood Ave
Chicago, IL 60640
Phone (773) 432-6570

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1780396390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 EAGLE VISTA PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462597706",
            "telephone_number": "317-607-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 N RAVENSWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405802",
            "telephone_number": "773-572-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 W Bittersweet Pl Apt 104",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132348",
            "country_code": "US",
            "telephone_number": "317-607-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDERSON",
        "first_name": "SYDNEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780396390",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.