Provider Demographics
NPI:1144040734
Name:WATSON, CYNTHIA H (LISW-CP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:H
Last Name:WATSON
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 BARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-9704
Mailing Address - Country:US
Mailing Address - Phone:864-867-8232
Mailing Address - Fax:
Practice Address - Street 1:490 BARFIELD RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-9704
Practice Address - Country:US
Practice Address - Phone:864-867-8232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC173711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical