Cynthia Ann Fouse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.0001463 Issued in CO

Practice address

399 Talus Rd
Monument, CO 80132-6034

Phone

(171) 964-9302

NPI assigned

Jul 17, 2023

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 Ann Burroughs Other 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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1346929288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 TALUS RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326034",
            "telephone_number": "719-649-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 TALUS RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326034",
            "telephone_number": "171-964-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUSE",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.0001463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "BURROUGHS",
            "middle_name": "ANN",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victoria Elise Fleischmann, LPC
• Joshue Flores
• Miquela Gabrielle Flores, MA, BCBA
• Kathleen Reed Foote, M.D.
• Sandi L Forsythe, LMFT
• Fox Surgical Group
• Paul A. Fox
• Fraser Professional Medical Group LLC
• Front Range Advanced Wound Care Professional Corporation
• Tae S Fugate, AAS

• Clinical Social Worker in Monument, CO
• Providers in Monument, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.