Provider Demographics
NPI:1447766274
Name:BINNS, CYLICIA RENEA (LCSW)
Entity type:Individual
Prefix:
First Name:CYLICIA
Middle Name:RENEA
Last Name:BINNS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CYLICIA
Other - Middle Name:RENEA
Other - Last Name:MOORE-ELIANOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1 EXPRESS WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-1824
Mailing Address - Country:US
Mailing Address - Phone:800-554-6931
Mailing Address - Fax:
Practice Address - Street 1:280 S HARRISON ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1960
Practice Address - Country:US
Practice Address - Phone:973-380-0374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-15
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06202300104100000X
GACSW0075531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker