Provider Demographics
NPI:1124232061
Name:FAUST, CINDY (LCSW CEAP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:FAUST
Suffix:
Gender:F
Credentials:LCSW CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MLCF 1155 ROUTE 73
Mailing Address - Street 2:RAMBLEWOOD CENTER SUITE 12
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-2352
Mailing Address - Country:US
Mailing Address - Phone:856-722-9772
Mailing Address - Fax:856-722-9718
Practice Address - Street 1:MLCF 1155 ROUTE 73
Practice Address - Street 2:RAMBLEWOOD CENTER SUITE 12
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-2352
Practice Address - Country:US
Practice Address - Phone:856-722-9772
Practice Address - Fax:856-722-9718
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045430001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ004366V9LMedicare ID - Type Unspecified