Provider Demographics
NPI:1669410874
Name:LINCOLN, CYNTHIA M (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:M
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 MARKET STREET
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078
Mailing Address - Country:US
Mailing Address - Phone:443-466-6830
Mailing Address - Fax:
Practice Address - Street 1:201 MARKET STREET
Practice Address - Street 2:SUITE 204
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078
Practice Address - Country:US
Practice Address - Phone:443-466-6830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD062851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD001794OtherVALUE OPTIONS
MD2081452OtherCIGNA
MD252311OtherCOMPSYCH
MD11333123OtherCAQH
MDM6120001OtherCAREFIRST BC/BS DC REGION
MD100057223OtherAPS
MD52980307OtherCAREFIRST BCBS RENDERING
MD915BCYOtherCAREFIRST BC/BS MARYLAND
MD120788OtherJHHP: USFHP AND EHP
MD151891OtherMHN