Provider Demographics
NPI:1700097664
Name:SPRINGER, CYNTHIA ENEIDA (MSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ENEIDA
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13707 CERISE AVE APT 14
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-8741
Mailing Address - Country:US
Mailing Address - Phone:310-355-0321
Mailing Address - Fax:
Practice Address - Street 1:8220 SOUTH SAN PEDRO STREET
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003
Practice Address - Country:US
Practice Address - Phone:323-789-5640
Practice Address - Fax:323-789-5648
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 21079104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker