Provider Demographics
NPI:1134187917
Name:ZOLLMAN, CYNTHIA GAY (LCSW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:GAY
Last Name:ZOLLMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10054 IRON POINTE DRIVE EXT
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-4268
Mailing Address - Country:US
Mailing Address - Phone:717-538-5170
Mailing Address - Fax:
Practice Address - Street 1:30838 VINES CREEK RD UNIT 2C
Practice Address - Street 2:
Practice Address - City:DAGSBORO
Practice Address - State:DE
Practice Address - Zip Code:19939-4385
Practice Address - Country:US
Practice Address - Phone:717-538-5170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0126951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical