Provider Demographics
NPI:1295825560
Name:COMISKEY, CYNTHIA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:COMISKEY
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 1:241 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-2115
Mailing Address - Country:US
Mailing Address - Phone:724-251-0785
Mailing Address - Fax:724-869-3336
Practice Address - Street 1:1020 W STATE ST
Practice Address - Street 2:
Practice Address - City:BADEN
Practice Address - State:PA
Practice Address - Zip Code:15005-1338
Practice Address - Country:US
Practice Address - Phone:724-251-0785
Practice Address - Fax:724-869-3336
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW001163L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA078743Medicare ID - Type UnspecifiedTHERAPIST
PAQ15061Medicare UPIN