Provider Demographics
NPI:1831557511
Name:MOROTE-ARIZA, CYNTHIA CATALINA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:CATALINA
Last Name:MOROTE-ARIZA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:CATALINA
Other - Last Name:MOROTE-BUNDRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3145 W PRATT BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4125
Mailing Address - Country:US
Mailing Address - Phone:773-467-3829
Mailing Address - Fax:773-467-3799
Practice Address - Street 1:3145 W PRATT BLVD FL 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-4125
Practice Address - Country:US
Practice Address - Phone:773-467-3829
Practice Address - Fax:773-467-3799
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0197701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical