Provider Demographics
NPI:1235457888
Name:WOODS, CINDIE L (LCSW)
Entity Type:Individual
Prefix:
First Name:CINDIE
Middle Name:L
Last Name:WOODS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 S RUSSELL ST
Mailing Address - Street 2:SUITE B110
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-8574
Mailing Address - Country:US
Mailing Address - Phone:406-880-4068
Mailing Address - Fax:406-721-5072
Practice Address - Street 1:3700 S RUSSELL ST STE B110
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-8574
Practice Address - Country:US
Practice Address - Phone:406-880-4068
Practice Address - Fax:406-721-5072
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2018-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT9421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1477745370Medicaid