Cynthia Closs, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015019 Issued in PA

Practice address

1420 Walnut St Ste 1412
Philadelphia, PA 19102-4014

Phone

(215) 694-2383

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empowerment and Recovery Psychotherapy, LLC

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1568828135
  NPD Authorized official
• Jefferson University Physicians

  dba Jefferson GI

  • Gastroenterology Physician
  • Phila, PA
  • NPI 1205898723
  NPD (past)
• Psycare Solutions Inc

  • Clinical Psychologist
  • Elkins Park, PA
  • NPI 1316003270
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1316018666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 1412",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024014",
            "telephone_number": "215-694-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 1412",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024014",
            "telephone_number": "215-694-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSS",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11622513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Cloetingh, LCSW
• Chelsa L Clofer, R-DMT
• Brian J Clohessy, DO
• Patrice K Clor Alexander, CRNA
• Jeremy David Close, M.D.
• Susan M Closs
• Robert Thomas Clothier
• Rachael Cloud, MSN FNP-BC
• Cloudline Physical Therapy LLC
• Rashida Clover-Frazier

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.