Provider Demographics
NPI:1548610504
Name:MARIC, CINDY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:MARIC
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:J
Other - Last Name:ROMANO-MARIC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:11 HIGH ACRES DR
Mailing Address - Street 2:
Mailing Address - City:THORNWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:10594-1803
Mailing Address - Country:US
Mailing Address - Phone:516-330-1818
Mailing Address - Fax:
Practice Address - Street 1:731 SAW MILL RIVER RD
Practice Address - Street 2:SUITE 7
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1814
Practice Address - Country:US
Practice Address - Phone:516-330-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0844241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical