Provider Demographics
NPI:1689816209
Name:HERNANZ, CYNTHIA JUNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:JUNE
Last Name:HERNANZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:JUNE
Other - Last Name:FRITTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 20776
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37940-1776
Mailing Address - Country:US
Mailing Address - Phone:865-313-5683
Mailing Address - Fax:865-691-7364
Practice Address - Street 1:111 CENTER PARK DRIVE
Practice Address - Street 2:SUITE 1300
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2124
Practice Address - Country:US
Practice Address - Phone:865-313-5683
Practice Address - Fax:865-691-7364
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN51091041C0700X
FL92371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical