MEDICARE: SYDNEY WALKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1063225993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY WALKER

Provider Business Mailing Address
First Line	:	2920 MARKETPLACE DR STE 203
Second Line	:
City	:	FITCHBURG
State	:	WI
Zip	:	53719-5338
Country	:	US
Telephone Number	:	608-515-3319
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 REGENT ST STE 201
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53715-2649
Country	:	US
Telephone Number	:	608-709-9672
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	01/27/2025

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Directions to “ SYDNEY WALKER ” Practice Location

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