Cynthia Shepherd, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CYNTHIA SHEPHERD, LCSW, LLC

Practice address

15615 State Road 23 Ste D
Granger, IN 46530-7091

Phone

(574) 406-0190

NPI assigned

Jan 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cynthia Shepherd, LCSWNPI 1457982241

Title

Member

Phone

(574) 406-0190

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Marie Shepherd, LCSW

  • Clinical Social Worker
  • Granger, IN
  • NPI 1457982241
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1003521907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51720 BLUFFSIDE CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307054",
            "telephone_number": "574-274-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 STATE ROAD 23 STE D",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307091",
            "telephone_number": "574-406-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA SHEPHERD, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "574-406-0190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald A. Craker, PSY.D.
• Christa Marie Crawford, RPH
• Kelly E Crowley, NP
• Jennifer Cunningham, PT, DPT
• Tess Lacie Curnyn, DO
• Stacey Ann Dalby, OTR/L
• Karen D. Davis, M.D.
• Oliver James Davis Jr., MSW, LCSW, LMSW
• Travis Van Deaton
• Anna K Detlefsen, LCSW

• Clinical Social Worker in Granger, IN
• Providers in Granger, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.