Provider Demographics
NPI:1598780793
Name:BARTE, CYNTHIA M (MSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:M
Last Name:BARTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:M
Other - Last Name:LEWIS-BARTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW, LCSW, LCDP, C
Mailing Address - Street 1:100 LAFAYETTE ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-6008
Mailing Address - Country:US
Mailing Address - Phone:401-965-6699
Mailing Address - Fax:401-568-9050
Practice Address - Street 1:100 LAFAYETTE ST STE 206
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-6008
Practice Address - Country:US
Practice Address - Phone:401-965-6699
Practice Address - Fax:401-568-9050
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW014831041C0700X
FLSW88451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RICL34200Medicaid
RI809005110Medicare PIN