Provider Demographics
NPI:1083050140
Name:LINDGREN, CYNTHIA IRENE (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:IRENE
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:IRENE
Other - Last Name:DUNNIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6105 LANSFORD LN
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5233
Mailing Address - Country:US
Mailing Address - Phone:817-421-0170
Mailing Address - Fax:
Practice Address - Street 1:4037 PARCHMAN ST
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8801
Practice Address - Country:US
Practice Address - Phone:817-595-2520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 103TM1800X, 101YM0800X
TX596591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical