Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sydney C Theobald, LCSW

Individual provider Clinical Social Worker · NPI 1659079127

Sydney C Theobald, LCSW is a Clinical Social Worker in Watertown, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

595 W Main St
Watertown, NY 13601-1335
Phone: (888) 585-2228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 103761 (NY)
Social Worker Taxonomy 104100000X · Licence P120209 (NY)
Social Worker Taxonomy 104100000X · Licence 119210 (NY)

Record details

NPI number1659079127
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESSeptember 3, 2026
Certification dateAugust 21, 2023

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