Provider Demographics
NPI:1861523599
Name:SANCHEZ, CYNTHIA IRENE (LCSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:IRENE
Last Name:SANCHEZ
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 1:4900 SERRANIA AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-3301
Mailing Address - Country:US
Mailing Address - Phone:818-834-7157
Mailing Address - Fax:
Practice Address - Street 1:8550 BALBOA BLVD STE 150
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-3579
Practice Address - Country:US
Practice Address - Phone:818-830-0200
Practice Address - Fax:818-830-0206
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS284751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical