Provider Demographics
NPI:1083697031
Name:MYERS, CYNTHIA C (LSCSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:C
Last Name:MYERS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:C
Other - Last Name:GILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15757 238TH RD
Mailing Address - Street 2:
Mailing Address - City:CUMMINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66016-9035
Mailing Address - Country:US
Mailing Address - Phone:913-426-2609
Mailing Address - Fax:
Practice Address - Street 1:15757 238TH RD
Practice Address - Street 2:
Practice Address - City:CUMMINGS
Practice Address - State:KS
Practice Address - Zip Code:66016-9035
Practice Address - Country:US
Practice Address - Phone:913-426-2609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5761104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker