Individual provider Active NPI

Cynthia Diaz Sanchez, L.C.S.W.

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1265457725
Registry record updated Feb 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 2548 Issued in FL
Practice address
5121 Ehrlich Rd
Suite 104-B
Tampa, FL 33624-2049
Phone
(813) 968-8801
Fax
(813) 960-9373
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2011

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 SW 2548 FL Primary

Addresses

Primary practice location

5121 Ehrlich Rd
Suite 104-B
Tampa, FL 33624-2049

Mailing address

5121 Ehrlich Rd
Suite 104-B
Tampa, FL 33624-2049
Phone (813) 968-8801

Other identifiers 9

IdentifierTypeStateIssuer
FL 2256OtherFLUNIPSYCH
SANCCYNTOtherFLLIFESYNCH - CORPHEALTH (HUMANA)
11614783OtherFLCAQH
2165768OtherFLCOMPSYCH
282088OtherFLVALUE OPTIONS PROVIDER ID
20919OtherFLCIGNA BEHAVIORAL HEALTH
501699693OtherFLUNITED BEHAVIORAL HEALTH
7244935OtherFLAETNA
Z4609OtherFLBLUE CROSS BLUE SHIELD

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298073600000",
    "number": "1265457725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 EHRLICH RD",
            "address_2": "SUITE 104-B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242049",
            "telephone_number": "813-968-8801",
            "fax_number": "813-960-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 EHRLICH RD",
            "address_2": "SUITE 104-B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242049",
            "telephone_number": "813-968-8801",
            "fax_number": "813-960-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CYNTHIA",
        "middle_name": "DIAZ",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 2548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIPSYCH",
            "identifier": "FL 2256",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFESYNCH - CORPHEALTH (HUMANA)",
            "identifier": "SANCCYNT",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11614783",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "2165768",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER ID",
            "identifier": "282088",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "20919",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "501699693",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7244935",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z4609",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.