Individual provider · Type 1 NPI

Sydney C. Theobald, LCSW

Clinical Social Worker · Watertown, NY

NPI number 1659079127 Active

Practice location

595 W Main St
Watertown, NY 13601-1335

Call (888) 585-2228 Map

Mailing address

611 W Main St
Watertown, NY 13601-1337

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X103761 (NY)
Social Worker 104100000XP120209 (NY)
Social Worker 104100000X119210 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1659079127

Sydney C. Theobald, LCSW's National Provider Identifier is 1659079127, issued on Feb 23, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Watertown, NY. The record was last updated on Sep 3, 2026.