Provider Demographics
NPI:1831296805
Name:ARONSON, CYNTHIA L (CSWR)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:ARONSON
Suffix:
Gender:F
Credentials:CSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 BERGER RD
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-6301
Mailing Address - Country:US
Mailing Address - Phone:518-773-2446
Mailing Address - Fax:518-762-5802
Practice Address - Street 1:171 CO HWY 142A
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:NY
Practice Address - Zip Code:12095-3725
Practice Address - Country:US
Practice Address - Phone:518-705-1042
Practice Address - Fax:518-762-5802
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3426911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00347562Medicaid
NY55408AMedicare ID - Type Unspecified
NYS28600Medicare UPIN