Provider Demographics
NPI:1881015667
Name:CASTILE, CYNTHIA (SOCIAL WORKER (LCSW))
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:
Last Name:CASTILE
Suffix:
Gender:F
Credentials:SOCIAL WORKER (LCSW)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3781 TORRINGTON DR W
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-8203
Mailing Address - Country:US
Mailing Address - Phone:251-605-7590
Mailing Address - Fax:
Practice Address - Street 1:3781 TORRINGTON DR W
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-8203
Practice Address - Country:US
Practice Address - Phone:251-605-7590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3544C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical