Provider Demographics
NPI:1467854638
Name:CHAMBERS, CYNTRA (LCSW, LISW-S)
Entity Type:Individual
Prefix:
First Name:CYNTRA
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LCSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 GLENSPRINGS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2353
Mailing Address - Country:US
Mailing Address - Phone:513-771-9600
Mailing Address - Fax:
Practice Address - Street 1:415 GLENSPRINGS DR STE 201
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-2353
Practice Address - Country:US
Practice Address - Phone:513-771-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1302429104100000X
FLSW154261041C0700X
OHI.1600617-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker