Cynthia Leigh Carlson LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2706 Issued in WI

Legal business name

CYNTHIA LEIGH CARLSON LLC

Practice address

3970 N Oakland Ave Ste 704
Shorewood, WI 53211-2265

Phone

(414) 963-9187

NPI assigned

May 28, 2011

Last updated

Sep 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Leigh Carlson, MSW

Title

Clinical Social Worker

Phone

(414) 963-9187

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1306540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1023302767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE STE 704",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-963-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE STE 704",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-963-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA LEIGH CARLSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-28",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "414-963-9187",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.