Healthcare Provider Details

I. General information

NPI: 1578927901
Provider Name (Legal Business Name): CYNTHIA LEDUC LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 NEW STATE HWY SUITE 6
RAYNHAM MA
02767-5460
US

IV. Provider business mailing address

90 NEW STATE HWY STE 6
RAYNHAM MA
02767-5461
US

V. Phone/Fax

Practice location:
  • Phone: 508-880-6868
  • Fax: 508-880-6848
Mailing address:
  • Phone: 508-880-6868
  • Fax: 508-880-6848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1143050
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: