Provider Demographics
NPI:1558508770
Name:LENGRAND, CYNTHIA (LCSWC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:LENGRAND
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:SCHOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSWC
Mailing Address - Street 1:4709 WIDDUP CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6529
Mailing Address - Country:US
Mailing Address - Phone:410-290-6432
Mailing Address - Fax:410-290-6604
Practice Address - Street 1:9810 PATUXENT WOODS DR
Practice Address - Street 2:SUITE C
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1595
Practice Address - Country:US
Practice Address - Phone:410-290-6432
Practice Address - Fax:410-290-6604
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical