Provider Demographics
NPI:1518135185
Name:FOSTER, CINDY ANN
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:ANN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:ANN
Other - Last Name:KRACHT FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, ACSW
Mailing Address - Street 1:4210 COLUMBIA RD
Mailing Address - Street 2:4A
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-0403
Mailing Address - Country:US
Mailing Address - Phone:706-312-6885
Mailing Address - Fax:706-922-7630
Practice Address - Street 1:4210 COLUMBIA RD
Practice Address - Street 2:4A
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-0403
Practice Address - Country:US
Practice Address - Phone:706-312-6885
Practice Address - Fax:706-922-7630
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0024011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical