Active NPI
Cynthia L Daughtry, MSW LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1194895086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2263
- Practice address
- 2525 Chicago Avenue South
Childrens Specialty Clinic Pain Clinic MPLS
Minneapolis, MN 55404 - Phone
- (612) 813-7888
- Fax
- (612) 813-7199
- NPI assigned
- Nov 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2263 | MN | |
| Clinical Social Worker | 1041C0700X | 2263 | MN | Primary |
Addresses
Primary practice location
2525 Chicago Avenue South
Childrens Specialty Clinic Pain Clinic MPLS
Minneapolis, MN 55404
Mailing address
2910 Centre Pointe Drive 35121a
Childrens Health Care
Roseville, MN 55113
Phone (651) 855-2109
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2263 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1194895086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CENTRE POINTE DRIVE 35121A",
"address_2": "CHILDRENS HEALTH CARE",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-855-2109",
"fax_number": "651-855-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CHICAGO AVENUE SOUTH",
"address_2": "CHILDRENS SPECIALTY CLINIC PAIN CLINIC MPLS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55404",
"telephone_number": "612-813-7888",
"fax_number": "612-813-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHTRY",
"first_name": "CYNTHIA",
"middle_name": "L",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "2263",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "2263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.