Provider Demographics
NPI:1497894570
Name:PINSKY, CYNTHIA F (LICSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:F
Last Name:PINSKY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WAVERLY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-7334
Mailing Address - Country:US
Mailing Address - Phone:413-448-8228
Mailing Address - Fax:
Practice Address - Street 1:54 WENDELL AVE
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6312
Practice Address - Country:US
Practice Address - Phone:413-717-1443
Practice Address - Fax:413-443-1585
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10322021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA31630OtherHEALTH NEW ENGLAND
MAP21439Medicare ID - Type UnspecifiedMEDICARE