Provider Demographics
NPI:1013023381
Name:LIBMAN, CINDY S (LICSW LMFT)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:S
Last Name:LIBMAN
Suffix:
Gender:F
Credentials:LICSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 YORK AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-922-7679
Mailing Address - Fax:952-922-0339
Practice Address - Street 1:6550 YORK AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-922-7679
Practice Address - Fax:952-922-0339
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00102LICSW1041C0700X
MN484106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist