Provider Demographics
NPI:1245374594
Name:HESS, CYNTHIA K (LCSW; LISW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:K
Last Name:HESS
Suffix:
Gender:F
Credentials:LCSW; LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 LYNN RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3612
Mailing Address - Country:US
Mailing Address - Phone:513-706-6123
Mailing Address - Fax:
Practice Address - Street 1:720 LYNN RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3612
Practice Address - Country:US
Practice Address - Phone:513-706-6123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13021041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100289230Medicaid
KY7100289230Medicaid