Provider Demographics
NPI:1922030410
Name:SPRING, CYNTHIA JONES (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JONES
Last Name:SPRING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:J
Other - Last Name:CULBREATH SPRING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 7674
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38302-7674
Mailing Address - Country:US
Mailing Address - Phone:731-234-9700
Mailing Address - Fax:
Practice Address - Street 1:3551 US HIGHWAY 45 S
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:TN
Practice Address - Zip Code:38366-9789
Practice Address - Country:US
Practice Address - Phone:731-234-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3161061OtherBLUE CROSS/ BLUE SHIELD
TN3161061OtherBLUE CROSS/ BLUE SHIELD