Individual provider Active NPI

Cynthia Marie Millford

  • Clinical Social Worker
  • Canyon Lake, TX
National Provider Identifier
1104085943
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50030 Issued in TX
Practice address
650 Lazy Oaks Dr
Canyon Lake, TX 78133-3323
Phone
(210) 722-2656
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 50030 TX Primary

Addresses

Primary practice location

650 Lazy Oaks Dr
Canyon Lake, TX 78133-3323

Mailing address

PO Box 2481
Canyon Lake, TX 78133-0012
Phone (210) 722-2656

Other names 1

  • Cindy Millford Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50030TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1104085943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2481",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781330012",
            "telephone_number": "210-722-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 LAZY OAKS DR",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781333323",
            "telephone_number": "210-722-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLFORD",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "MILLFORD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canyon Lake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.