Provider Demographics
NPI:1457508848
Name:LINEBERGER, CINDY AUSTIN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:AUSTIN
Last Name:LINEBERGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CINDY
Other - Middle Name:SUZANNE
Other - Last Name:AUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:231 13TH AVE PL NW
Mailing Address - Street 2:SUITE A
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601
Mailing Address - Country:US
Mailing Address - Phone:828-457-8597
Mailing Address - Fax:
Practice Address - Street 1:231 13TH AVENUE PL NW STE A
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2570
Practice Address - Country:US
Practice Address - Phone:828-457-8597
Practice Address - Fax:828-386-9746
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0040201041C0700X
NCC0067221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC870090Medicaid