Provider Demographics
NPI:1730976556
Name:BESTEMAN, CYNTHIA (LSWAIC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:BESTEMAN
Suffix:
Gender:
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 110TH AVE NE APT A204
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4412
Mailing Address - Country:US
Mailing Address - Phone:917-531-5360
Mailing Address - Fax:
Practice Address - Street 1:938 110TH AVE NE APT A204
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4412
Practice Address - Country:US
Practice Address - Phone:917-531-5360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC61683417104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker