Provider Demographics
NPI:1346681905
Name:CHIZEWICK, CYNTHIA E (MSW, LISW-S,LICDC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:E
Last Name:CHIZEWICK
Suffix:
Gender:F
Credentials:MSW, LISW-S,LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 WILLIAM HOWARD TAFT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2610
Mailing Address - Country:US
Mailing Address - Phone:877-651-4343
Mailing Address - Fax:513-366-4491
Practice Address - Street 1:7545 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4222
Practice Address - Country:US
Practice Address - Phone:513-564-4026
Practice Address - Fax:513-564-4027
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.08010201041C0700X
OHI5006161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty