Healthcare Provider Details

I. General information

NPI: 1437804648
Provider Name (Legal Business Name): CINDY NICOLE DENHAM LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5916 ANAHEIM AVE NE STE A
ALBUQUERQUE NM
87113-1894
US

IV. Provider business mailing address

5916 ANAHEIM AVE NE STE A
ALBUQUERQUE NM
87113-1894
US

V. Phone/Fax

Practice location:
  • Phone: 505-633-8187
  • Fax:
Mailing address:
  • Phone: 505-633-8187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2025-1227
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: