| Cynthia Lengrand Lcsw-c, Llc | |
|
8940 Route 108 Ste E Columbia MD 21045-2129 | |
| (410) 715-1606 | |
| Not Available |
| Full Name | Cynthia Lengrand Lcsw-c, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8940 Route 108 Ste E, Columbia, Maryland |
| Authorized Official Name and Position | Cynthia Lengrand (SOLE OWNER) |
| Authorized Official Contact | 4107151606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Lengrand Lcsw-c, Llc 4709 Widdup Ct Ellicott City MD 21043-6529 Ph: (410) 715-1606 | Cynthia Lengrand Lcsw-c, Llc 8940 Route 108 Ste E Columbia MD 21045-2129 Ph: (410) 715-1606 |
| NPI Number | 1508156233 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Medicare PECOS PAC ID | 4789868647 |
|---|---|
| Medicare Enrollment ID | O20110418000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508156233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12332 (Maryland) | Primary |
| Provider Name | Cynthia A Lengrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558508770 PECOS PAC ID: 2668539800 Enrollment ID: I20090316000271 |
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