Provider Demographics
NPI:1659912582
Name:WARDEN, CYNTHIA (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:WARDEN
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16515 FOX KNL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1146
Mailing Address - Country:US
Mailing Address - Phone:210-850-4088
Mailing Address - Fax:
Practice Address - Street 1:5701 BROADWAY # 207
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5749
Practice Address - Country:US
Practice Address - Phone:210-580-6022
Practice Address - Fax:726-238-3117
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX680111041C0700X
TX14022101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)