Provider Demographics
NPI:1013237882
Name:WILLIAMSON, CYNTHIA M (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:M
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 HAVEN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030-2129
Mailing Address - Country:US
Mailing Address - Phone:508-361-4098
Mailing Address - Fax:866-408-1370
Practice Address - Street 1:27 HAVEN ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:MA
Practice Address - Zip Code:02030-2129
Practice Address - Country:US
Practice Address - Phone:508-361-4098
Practice Address - Fax:866-408-1370
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2020-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1157551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical