Provider Demographics
NPI:1376847434
Name:LAWSON, CYNTHIA COLLEEN (LMSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:COLLEEN
Last Name:LAWSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:COLLEEN
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:5206 MUSTANG CV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-3537
Mailing Address - Country:US
Mailing Address - Phone:830-285-6014
Mailing Address - Fax:
Practice Address - Street 1:5206 MUSTANG CV
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-3537
Practice Address - Country:US
Practice Address - Phone:830-285-6014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X, 104100000X, 133N00000X, 172V00000X, 174H00000X, 390200000X
TX106387104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program