Provider Demographics
NPI:1760834642
Name:REPASKY, CYNTHIA ANN (MSW, PCSW)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:REPASKY
Suffix:
Gender:F
Credentials:MSW, PCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S CENTER ST
Mailing Address - Street 2:SUITE #305
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2840
Mailing Address - Country:US
Mailing Address - Phone:307-277-6473
Mailing Address - Fax:888-659-0934
Practice Address - Street 1:330 S CENTER ST
Practice Address - Street 2:SUITE #305
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2840
Practice Address - Country:US
Practice Address - Phone:307-277-6473
Practice Address - Fax:888-659-0934
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPCSW-6861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical