Provider Demographics
NPI:1205688405
Name:WOOD, CYNTHIA SUE (LSW)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:SUE
Last Name:WOOD
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 STRATFORD CT
Mailing Address - Street 2:
Mailing Address - City:NEW STANTON
Mailing Address - State:PA
Mailing Address - Zip Code:15672-9476
Mailing Address - Country:US
Mailing Address - Phone:520-331-7715
Mailing Address - Fax:
Practice Address - Street 1:40 HUFF AVENUE EXT BLDG 1
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5484
Practice Address - Country:US
Practice Address - Phone:724-302-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1272171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical