Provider Demographics
NPI:1144375759
Name:REED, CYNTHIA K (LCSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:K
Last Name:REED
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WAVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-1231
Mailing Address - Country:US
Mailing Address - Phone:859-771-5067
Mailing Address - Fax:859-201-1450
Practice Address - Street 1:7 WAVELAND AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-1231
Practice Address - Country:US
Practice Address - Phone:859-771-5057
Practice Address - Fax:859-859-3854
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30615058Medicaid
KY0331718Medicare ID - Type UnspecifiedMEDICARE
KY30615058Medicaid