Provider Demographics
NPI:1932212388
Name:CORBIN, CYNTHIA PRIEST (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:PRIEST
Last Name:CORBIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 A3 WYCKSHIRE CT
Mailing Address - Street 2:A3
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129
Mailing Address - Country:US
Mailing Address - Phone:502-500-3328
Mailing Address - Fax:
Practice Address - Street 1:2701 LINDSAY AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2222
Practice Address - Country:US
Practice Address - Phone:502-500-3328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY18351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical