Provider Demographics
NPI:1164100517
Name:WATTS, CINTHIA (LMSW)
Entity Type:Individual
Prefix:
First Name:CINTHIA
Middle Name:
Last Name:WATTS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CINTHIA
Other - Middle Name:
Other - Last Name:MORENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:3721 W 22ND PL UNIT A
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7616
Mailing Address - Country:US
Mailing Address - Phone:520-238-1761
Mailing Address - Fax:
Practice Address - Street 1:3636 33RD ST STE 502
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-2329
Practice Address - Country:US
Practice Address - Phone:520-238-1761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-211621041C0700X
NY120198-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical