1669410874 NPI number — MS. CYNTHIA M LINCOLN LCSW-C

Table of content: MS. CYNTHIA M LINCOLN LCSW-C (NPI 1669410874)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669410874 NPI number — MS. CYNTHIA M LINCOLN LCSW-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINCOLN
Provider First Name:
CYNTHIA
Provider Middle Name:
M
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669410874
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 MARKET STREET
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
HAVRE DE GRACE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21078
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-466-6830
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 MARKET STREET
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
HAVRE DE GRACE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21078
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-466-6830
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  06285 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 001794 . This is a "VALUE OPTIONS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2081452 . This is a "CIGNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 252311 . This is a "COMPSYCH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 11333123 . This is a "CAQH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: M6120001 . This is a "CAREFIRST BC/BS DC REGION" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 100057223 . This is a "APS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 52980307 . This is a "CAREFIRST BCBS RENDERING" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 915BCY . This is a "CAREFIRST BC/BS MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 120788 . This is a "JHHP: USFHP AND EHP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 151891 . This is a "MHN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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