Provider Demographics
NPI:1952986465
Name:MCDONALD, CYNTHIA LEIGH (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:LEIGH
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 MILL RUN
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3438
Mailing Address - Country:US
Mailing Address - Phone:803-960-8235
Mailing Address - Fax:
Practice Address - Street 1:921 MILL RUN
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3438
Practice Address - Country:US
Practice Address - Phone:803-960-8235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13668104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker