MEDICARE: CYNTHIA NTAGBU LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	29024	MD

General Provider Information

NPI Number	:	1205557055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA NTAGBU LCSW-C

Provider Business Mailing Address
First Line	:	4416 E WEST HWY STE 205
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4577
Country	:	US
Telephone Number	:	301-690-0779
Fax Number	:

Provider Business Practice Location Address
First Line	:	4416 E WEST HWY STE 205
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4577
Country	:	US
Telephone Number	:	301-690-0779
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	06/22/2026

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