Provider Demographics
NPI:1073703021
Name:PEIKOFF, CYNTHIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:
Last Name:PEIKOFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 BARRANCA PKWY
Mailing Address - Street 2:SUITE 252
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4711
Mailing Address - Country:US
Mailing Address - Phone:949-733-1440
Mailing Address - Fax:949-733-1438
Practice Address - Street 1:4010 BARRANCA PKWY
Practice Address - Street 2:SUITE 252
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4711
Practice Address - Country:US
Practice Address - Phone:949-733-1440
Practice Address - Fax:949-733-1438
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA208751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical