Mrs Cynthia Marie Antonio Siadat, LCSW is a
Social Worker - Clinical based in Culver City, California. Mrs Cynthia Marie Antonio Siadat is licensed to practice in California (license number 76525) and her current practice location is
4760 Sepulveda Blvd, Culver City, California. She can be reached at her office (for appointments etc.) via phone at
(310) 390-6612.
NPI number for Mrs Cynthia Marie Antonio Siadat is 1033371877 and her current mailing address is 4760 Sepulveda Blvd, Culver City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033371877.
Healthcare Provider's Profile
| Full Name | Mrs Cynthia Marie Antonio Siadat |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4760 Sepulveda Blvd, Culver City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033371877
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 06/19/2017
Medical Identifiers
Medical identifiers for Mrs Cynthia Marie Antonio Siadat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033371877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW70758 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 76525 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Cynthia Marie Antonio Siadat is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Cynthia Marie Antonio Siadat, LCSW
4760 Sepulveda Blvd,
Culver City, CA 90230-4820
Ph: (310) 390-6612 | Mrs Cynthia Marie Antonio Siadat, LCSW
4760 Sepulveda Blvd,
Culver City, CA 90230-4820
Ph: (310) 390-6612 |
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