Doctor Name: | MS. CYNTHIA RENEE CUBBAGE |
NPI Number: | 1134139926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W. , LCSW-C |
License Number: | 11498 |
Business Practice Address: | 3839 Farragut Ave Kensington, MD - 208952004 |
Business Phone Number: | 3019337600 |
Business Fax Number: | |
Mailing Address: | 12620 Piedmont Trail Rd, CLARKSBURG |
State: | MD |
Postal Code: | 208714303 |
Phone Number: | 2406204353 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 11498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |