Provider Demographics
NPI:1629347125
Name:HOWARD, CYNTHIA S (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:HOWARD
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 1:2625 MIDDLEFIELD RD # 150
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-2516
Mailing Address - Country:US
Mailing Address - Phone:650-446-5236
Mailing Address - Fax:650-262-3371
Practice Address - Street 1:1865 MONROVIA DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122
Practice Address - Country:US
Practice Address - Phone:650-446-5236
Practice Address - Fax:650-262-3371
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104759104100000X
CA69151104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker