MEDICARE: CYNTHIA L CARNES LCSW

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	ISW17063	FL
2	1041C0700X	Clinical Social Worker	LCSW-22983	AZ
3	1041C0700X	Clinical Social Worker	2025014947	MO
4	1041C0700X	Clinical Social Worker	34012192A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326670167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA L CARNES LCSW

Provider Business Mailing Address
First Line	:	3320 VIVIENDA BLVD
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207
Country	:	US
Telephone Number	:	616-644-1006
Fax Number	:

Provider Business Practice Location Address
First Line	:	3320 VIVIENDA BLVD
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207
Country	:	US
Telephone Number	:	616-644-1006
Fax Number	:

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

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	03/13/2026

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