Cynthia Elizabeth Hommer, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Fulda, MN
NPI 1659567394 · NPPES record last updated Sep 17, 2007
Key facts
- NPI
- 1659567394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11857 (MN)
- Practice address
- 706 Lloyd LN
Fulda, MN 56131-9464 - Phone
- (507) 425-2087
- NPI assigned
- Sep 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2279 | SD | MD | Clinical Social Worker |
| 11857 | MN | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11857 | MN | Yes |
| Clinical Social Worker | 1041C0700X | 2279 | SD |
Addresses
Primary practice location
706 Lloyd LN
Fulda, MN 56131-9464
Mailing address
706 Lloyd LN
Fulda, MN 56131-9464
Phone (507) 425-2087
Other providers in Fulda, MN
- Fulda Family Chiropractic, P.a.
- Fulda Public School
- Cassandra Getting
- Tony Jonathan Graber
- Grant Alexander Greenfield
- Maple Lawn Nursing Home, Inc.
- Prairie Rehabilitation Services, Inc
- Prairie Rehabilitation Services, Inc.
- Rural Health Care, Inc.
- Megan Ann Schryvers
All providers in Fulda, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2007. 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.