Provider Demographics
NPI:1740568096
Name:PEARSON, CYNTHIA ANN (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:PEARSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:ANN
Other - Last Name:AGUIAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ILCSW
Mailing Address - Street 1:49 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-2435
Mailing Address - Country:US
Mailing Address - Phone:781-335-6000
Mailing Address - Fax:781-340-5358
Practice Address - Street 1:49 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-2435
Practice Address - Country:US
Practice Address - Phone:781-335-6000
Practice Address - Fax:781-340-5358
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1146501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical