Provider Demographics
NPI:1265225593
Name:HANSEL, CYNTHIA M (LSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:HANSEL
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:M
Other - Last Name:AUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:10711 S STRAWTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:FAIRMOUNT
Mailing Address - State:IN
Mailing Address - Zip Code:46928-9240
Mailing Address - Country:US
Mailing Address - Phone:765-618-4918
Mailing Address - Fax:
Practice Address - Street 1:10711 S STRAWTOWN PIKE
Practice Address - Street 2:
Practice Address - City:FAIRMOUNT
Practice Address - State:IN
Practice Address - Zip Code:46928-9240
Practice Address - Country:US
Practice Address - Phone:765-618-4918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33012811A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker