Provider Demographics
NPI:1649383803
Name:REUM, CYNTHIA J (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:J
Last Name:REUM
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W RIVER ST
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:ORANGE
Mailing Address - State:MA
Mailing Address - Zip Code:01364-1435
Mailing Address - Country:US
Mailing Address - Phone:978-544-1556
Mailing Address - Fax:978-544-1512
Practice Address - Street 1:450 W RIVER ST
Practice Address - Street 2:SUITE 4B
Practice Address - City:ORANGE
Practice Address - State:MA
Practice Address - Zip Code:01364-1435
Practice Address - Country:US
Practice Address - Phone:978-544-1556
Practice Address - Fax:978-544-1512
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1027000-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA025354OtherVALUE OPTIONS
MA043573629-01OtherPACIFICARE BEH. HEALTH
MA1029360OtherBEACON HEALTH STRATEGIES
MA350402000OtherMAGELLAN BEH. HEALTH
MAP08121OtherBCBSMA
MA1858327Medicaid
MA768350OtherTUFTS
MAP08121OtherBCBSMA