Provider Demographics
NPI:1003343377
Name:WRIGHT, CYNTHIA SHYVONNE (LCSW-C)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:SHYVONNE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19925 SWEETGUM CIR APT 32
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3783
Mailing Address - Country:US
Mailing Address - Phone:202-853-8048
Mailing Address - Fax:
Practice Address - Street 1:19925 SWEETGUM CIR APT 32
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-3783
Practice Address - Country:US
Practice Address - Phone:202-853-8048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22623104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker