Individual provider Active NPI

Cynthia Louise Willis, LCSW

  • Psychoanalysis Psychologist
  • New York, NY
National Provider Identifier
1881756187
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
R0338971 Issued in NY
Practice address
301 East 79TH Street
Suite 26M Cynthia Willis LCSW
New York, NY 10021-0946
Phone
(212) 249-2968
Fax
(212) 249-7445
NPI assigned
Dec 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X R0338971 NY
Psychoanalysis Psychologist 103TP0814X R0338971 NY Primary
Clinical Social Worker 1041C0700X R0338971 NY

Addresses

Primary practice location

301 East 79TH Street
Suite 26M Cynthia Willis LCSW
New York, NY 10021-0946

Mailing address

301 E 79TH Street
Suite Number 26M Cynthia Willis LCSW
New York, NY 10021-0946
Phone (212) 249-2968

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
I20031104000512 NY Practitioner - Clinical Social Worker 8325950660 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

301 E 79TH St
Suite 26M
New York, NY 10021-0946
Phone (212) 249-2968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0338971NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881756187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 79TH STREET",
            "address_2": "SUITE NUMBER 26M CYNTHIA WILLIS LCSW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210946",
            "telephone_number": "212-249-2968",
            "fax_number": "212-249-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST 79TH STREET",
            "address_2": "SUITE 26M CYNTHIA WILLIS LCSW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210946",
            "telephone_number": "212-249-2968",
            "fax_number": "212-249-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CYNTHIA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "R0338971",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "R0338971",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0338971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.