Provider Demographics
NPI:1831454727
Name:LAWLOR, CYNTHIA (LCSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:LAWLOR
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9C CASTLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-2460
Mailing Address - Country:US
Mailing Address - Phone:860-205-7614
Mailing Address - Fax:
Practice Address - Street 1:9C CASTLE HILL RD
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2460
Practice Address - Country:US
Practice Address - Phone:860-205-7614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-07
Last Update Date:2012-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0077101041C0700X
MA1163091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical