Cynthia Anne Clark, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I-0007071 Issued in OH

Practice address

131 N Ewing St Ste B
Lancaster, OH 43130-3383

Phone

(740) 689-6700

Fax

(740) 689-6702

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• River Valley Counseling, LLC

  • Mental Health Counselor
  • Lancaster, OH
  • NPI 1548214752
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942228051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EWING ST",
            "address_2": "UNIT B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-689-6700",
            "fax_number": "740-689-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EWING ST STE B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-689-6700",
            "fax_number": "740-689-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I-0007071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000489716",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "I 0007071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ceceal Cipparone, APRN-CNM
• Patricia Lee Ciripompa, LPC
• City Auditor
• Aaron Clark, LSW
• Ashley Clark
• Jeffrey Clark, AT/ATC/CES
• Clearsky Rehabilitation Hospital of Lancaster, LLC
• Carrie Clendening
• Olivia Clevenger, R.D., L.D
• Evan R Clifford

• Social Worker in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.