Provider Demographics
NPI:1851646913
Name:CYNTHIA M WEBB LISW LLC
Entity Type:Organization
Organization Name:CYNTHIA M WEBB LISW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:740-817-1565
Mailing Address - Street 1:1053 GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-2109
Mailing Address - Country:US
Mailing Address - Phone:740-817-1565
Mailing Address - Fax:614-273-0416
Practice Address - Street 1:1616 W CHURCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1540
Practice Address - Country:US
Practice Address - Phone:740-817-1565
Practice Address - Fax:614-273-0416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00080581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty