Provider Demographics
NPI:1376845511
Name:AUSTRIA, CYNDEE M (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNDEE
Middle Name:M
Last Name:AUSTRIA
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 1:2239 HABERSHAM DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3724
Mailing Address - Country:US
Mailing Address - Phone:727-637-8171
Mailing Address - Fax:
Practice Address - Street 1:2239 HABERSHAM DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-3724
Practice Address - Country:US
Practice Address - Phone:727-637-8171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW76441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical