Individual provider Active NPI

Cid Vordenbaum, LCSW

  • Clinical Social Worker
  • Lewes, DE
National Provider Identifier
1316346067
Registry record updated Apr 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001162 Issued in DE
Practice address
1632 Savannah Rd
Unit 5
Lewes, DE 19958-1659
Phone
(302) 644-1224
Fax
(302) 827-4382
NPI assigned
Aug 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2021

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 Q1-0001162 DE Primary

Addresses

Primary practice location

1632 Savannah Rd
Unit 5
Lewes, DE 19958-1659

Mailing address

179 Rehoboth Ave Unit 85
Rehoboth Beach, DE 19971-7904
Phone (202) 701-3831

Other names 1

  • Cynthia Lou Vordenbaum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505001801 DE Practitioner - Clinical Social Worker 8921417825 Practice locations: Lewes, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1632 Savannah Rd
Suite 5
Lewes, DE 19958-1659
Phone (202) 701-3831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001162DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Clinical CurrentSince Feb 2, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1316346067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 REHOBOTH AVE UNIT 85",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199717904",
            "telephone_number": "202-701-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 SAVANNAH RD",
            "address_2": "UNIT 5",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581659",
            "telephone_number": "302-644-1224",
            "fax_number": "302-827-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORDENBAUM",
        "first_name": "CID",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "VORDENBAUM",
            "middle_name": "LOU",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.