Provider Demographics
NPI:1376898759
Name:SMITH, CINTHIA KARR (LCSW)
Entity type:Individual
Prefix:MS
First Name:CINTHIA
Middle Name:KARR
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CINTHIA
Other - Middle Name:KARR
Other - Last Name:MCNEILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:417 3RD AVE SW STE 275
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-4104
Mailing Address - Country:US
Mailing Address - Phone:256-297-3215
Mailing Address - Fax:256-255-0026
Practice Address - Street 1:417 3RD AVE SW STE 275
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-4104
Practice Address - Country:US
Practice Address - Phone:256-297-3215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2171C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL330000025Medicaid