Provider Demographics
NPI:1811018054
Name:LUM, CYNTHIA JEW (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:JEW
Last Name:LUM
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24427 PARK ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6512
Mailing Address - Country:US
Mailing Address - Phone:310-375-3567
Mailing Address - Fax:
Practice Address - Street 1:340 W 224TH ST
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-3606
Practice Address - Country:US
Practice Address - Phone:310-513-8070
Practice Address - Fax:310-513-6766
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical