Individual provider Active NPI

Cynthia Woda, LCSWR

  • Clinical Social Worker
  • Port Jervis, NY
National Provider Identifier
1720314636
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076525 Issued in NY
Practice address
26 Fowler St Ste 1
Port Jervis, NY 12771-2534
Phone
(973) 600-4594
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076525 NY Primary

Addresses

Primary practice location

26 Fowler St Ste 1
Port Jervis, NY 12771-2534

Mailing address

26 Fowler St Ste 1
Port Jervis, NY 12771-2534
Phone (973) 600-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20100304000701 NY Practitioner - Clinical Social Worker 1153369400 Practice locations: Port Jervis, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 Fowler St
Port Jervis, NY 12771-2534
Phone (845) 858-5973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076525NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy of Monticello Inc Clinical PastSince Jun 16, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1720314636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FOWLER ST STE 1",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712534",
            "telephone_number": "973-600-4594",
            "fax_number": "845-858-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FOWLER ST STE 1",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712534",
            "telephone_number": "973-600-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODA",
        "first_name": "CYNTHIA",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

Verify at the official NPI Registry.