Provider Demographics
NPI:1487797551
Name:WARD, CYNTHIA YVONNE (LISW-S)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:YVONNE
Last Name:WARD
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:Y
Other - Last Name:PULLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-S
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3820 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-5403
Practice Address - Country:US
Practice Address - Phone:614-566-9090
Practice Address - Fax:614-566-8423
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 00029421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0200008Medicaid
OHI.0002942-SOtherLISW-S