Provider Demographics
NPI:1558456038
Name:HAMANN, CYNTHIA C (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:C
Last Name:HAMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111E LINCOLNWAY 101
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4849
Mailing Address - Country:US
Mailing Address - Phone:307-253-7663
Mailing Address - Fax:
Practice Address - Street 1:1111E LINCOLNWAY 101
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4849
Practice Address - Country:US
Practice Address - Phone:307-253-7663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLCSW-2051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical