Active NPI
Cynthia Rebecca Lane-Hand, LICSW
- Clinical Social Worker
- Manassas, VA
National Provider Identifier
1013261106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119064
- Practice address
- 7969 Ashton Ave
Manassas, VA 20109 - Phone
- (703) 792-7800
- Fax
- (703) 792-5699
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 119064 | MA | Primary |
Addresses
Primary practice location
7969 Ashton Ave
Manassas, VA 20109
Mailing address
55 Overlook Dr
Groton, MA 01450-1044
Phone (571) 294-4138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04945247 | Medicaid | VA |
Other names 1
- Cynthia Rebecca Hunnewell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119064 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1013261106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 OVERLOOK DR",
"city": "GROTON",
"state": "MA",
"postal_code": "014501044",
"telephone_number": "571-294-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7969 ASHTON AVE",
"city": "MANASSAS",
"state": "VA",
"postal_code": "20109",
"telephone_number": "703-792-7800",
"fax_number": "703-792-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE-HAND",
"first_name": "CYNTHIA",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "119064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04945247",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "HUNNEWELL",
"middle_name": "REBECCA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.