Provider Demographics
NPI:1740645373
Name:EDWARDS, CYNTHIA CUTTINO (DCH, LCSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CUTTINO
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:DCH, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4038 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6021
Mailing Address - Country:US
Mailing Address - Phone:504-669-1980
Mailing Address - Fax:888-959-6762
Practice Address - Street 1:4038 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6021
Practice Address - Country:US
Practice Address - Phone:504-669-1980
Practice Address - Fax:888-959-6762
Is Sole Proprietor?:No
Enumeration Date:2015-12-26
Last Update Date:2015-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA83131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical