Healthcare Provider Details

I. General information

NPI: 1669305850
Provider Name (Legal Business Name): SYDNEY A JOINER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 INNOVATION DR STE 221
WHITEWATER WI
53190-1483
US

IV. Provider business mailing address

3013 WORTHINGTON AVE
MADISON WI
53714-1635
US

V. Phone/Fax

Practice location:
  • Phone: 262-473-0670
  • Fax: 608-268-9780
Mailing address:
  • Phone: 608-742-5518
  • Fax: 608-268-9780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12921-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: