Provider Demographics
NPI:1205221306
Name:CINGCADE, MOLLY (MA, LSW, LPCC)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:CINGCADE
Suffix:
Gender:F
Credentials:MA, LSW, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1481 WARREN DR
Mailing Address - Street 2:APT 312
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-6315
Mailing Address - Country:US
Mailing Address - Phone:330-277-3859
Mailing Address - Fax:
Practice Address - Street 1:2806 PAYNE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-4470
Practice Address - Country:US
Practice Address - Phone:216-229-2420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1101216104100000X
OH1600014101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker