Provider Demographics
NPI:1669124541
Name:TORRES, CYNTHIA NATALIE (LMSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:NATALIE
Last Name:TORRES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 SHERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605-1135
Mailing Address - Country:US
Mailing Address - Phone:203-520-5378
Mailing Address - Fax:
Practice Address - Street 1:29 SHERWOOD AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06605-1135
Practice Address - Country:US
Practice Address - Phone:203-520-5378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-22
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4999104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker