Provider Demographics
NPI:1023172194
Name:STERNE, CINDY S (ACSW,LCSW,MCAP,ICADC)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:S
Last Name:STERNE
Suffix:
Gender:F
Credentials:ACSW,LCSW,MCAP,ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 NW 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-6653
Mailing Address - Country:US
Mailing Address - Phone:954-303-0043
Mailing Address - Fax:
Practice Address - Street 1:900 NW 31ST AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-6653
Practice Address - Country:US
Practice Address - Phone:954-303-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP 3004101YA0400X
FLSW84791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCAP 3004OtherCAP
FLSW8479OtherLCSW
FLADC-011019-2015OtherMCAP
FL002240000Medicaid