Cynthia Suzanne Tarantino-Fernandez, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3001-C Issued in NV

Practice address

1296 Bray Way
Gardnerville, NV 89410

Phone

(775) 782-7675

Fax

(775) 782-7675

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Cynthia Suzanne Madsen 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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1346573268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 BRAY WAY",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89410",
            "telephone_number": "775-782-7675",
            "fax_number": "775-782-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 BRAY WAY",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89410",
            "telephone_number": "775-782-7675",
            "fax_number": "775-782-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO-FERNANDEZ",
        "first_name": "CYNTHIA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "3001-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MADSEN",
            "middle_name": "SUZANNE",
            "prefix": "MRS.",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Caren Tegantvoort
• Kristopher Terrian
• Brandy Love Teschner
• Thais Sierra Pacific PC

• Social Worker in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.