Cynthia C Cruthirds, LCSW
Individual provider Active NPI Clinical Social Worker · Keesler Afb, MS
NPI 1609856137 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1609856137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C6337 (MS)
- Practice address
- 500 Fisher St
81 Mdos Sgow
Keesler Afb, MS 39531 - Phone
- (228) 376-3469
- Fax
- (228) 377-8468
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6337 | MS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C6337 | MS | Yes |
Addresses
Primary practice location
500 Fisher St
81 Mdos Sgow
Keesler Afb, MS 39531
Mailing address
11601 Old Biloxi Rd
Ocean Springs, MS 39565-7743
Phone (228) 392-5099
Other providers in Keesler Afb, MS
- Tristan Cheramie
- Rachel Louise Connell
- Taylor Cooley
- Abraham Fausto Jornada Cooper
- Robert Mack Cromer
- Sean Maurice Debuysere
- Victor Salvador Diaz
- Giulia Disanto
- Mary Anne M Dueitt
- Christina Marie Dukes
All providers in Keesler Afb, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.