Cynthia Diane Hanley, QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A15663 Issued in OR

Practice address

51600 Huntington Rd Ste 101
La Pine, OR 97739-8887

Phone

(541) 536-3435

Fax

(541) 536-8047

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cynthia Diane Pfau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1275250086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD STE 101",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398887",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD STE 101",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398887",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A15663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "PFAU",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Graham a Balcer, OD, PC (La Pine Eyecare Clinic)
• Heather R Gramme, MSW, MSG
• Mark W Greene, M.D.
• Sarah Grosse, APRN
• Juliet Seeley Gutierrez
• Montana Rosaleen Hanna
• Susan W Harmon, CHW
• Maxine Amy Harvey, D.O.
• High Desert Therapy Associates Inc (Newberry Hospice)
• High Desert Therapy Associates Inc (LaPine Physical Therapy)

• Clinical Social Worker in La Pine, OR
• Providers in La Pine, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.