Active NPI
Sydney K Reed, LCSW
- Clinical Social Worker
- Wilmette, IL
National Provider Identifier
1881707149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149001345
- Practice address
- 3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058 - Phone
- (847) 251-7350
- Fax
- (847) 853-2600
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 149001345 | IL | Primary |
Addresses
Primary practice location
3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058
Mailing address
1151 Ashland Ave
Evanston, IL 60202-1140
Phone (847) 866-7357
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016-71356 | Other | IL | BLUE CROSS BLUE SHIELD |
| 345-222-000 | Other | IL | MAGELLAN |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Center of Wilmette Glenview Northbrook Kenilworth | Clinical | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Northfield, IL
- NPI 1750396289
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1881707149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 ASHLAND AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021140",
"telephone_number": "847-866-7357",
"fax_number": "847-866-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 LAKE AVE",
"address_2": "SUITE 200",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911058",
"telephone_number": "847-251-7350",
"fax_number": "847-853-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "SYDNEY",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149001345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "016-71356",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "345-222-000",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.