Healthcare Provider Details
I. General information
NPI: 1770400533
Provider Name (Legal Business Name): CINDY NGUYEN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10910 CLARKSVILLE PIKE
ELLICOTT CITY MD
21042-6106
US
IV. Provider business mailing address
49 DUNGARRIE RD
BALTIMORE MD
21228-3404
US
V. Phone/Fax
- Phone: 443-355-9896
- Fax:
- Phone: 443-355-9896
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | 13032 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: