Cynthia Djengue, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4425 E Agave Rd Ste 106
Phoenix, AZ 85044-0620

Phone

(623) 295-9327

NPI assigned

May 23, 2021

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• The Hummingbird Path LLC

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1154205185
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1639744626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440620",
            "telephone_number": "623-295-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440620",
            "telephone_number": "623-295-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 E Agave Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850440620",
            "country_code": "US",
            "telephone_number": "623-295-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DJENGUE",
        "first_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Dizon
• Lee-Ann C Dizon, APRN, FNP-C
• Frank Dizonno, DPT
• Edwige Dea Djassa, FNP
• Constantine Stephen Djedjos, MD
• Djio Holdings Incorporated Dba Firstlight Home Care of Cave Creek, Az
• DJLW Health Services Inc.
• Vanja Djurdjevic
• DK Advocates Inc.
• DK Advocates Inc.

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.