Healthcare Provider Details

I. General information

NPI: 1205221306
Provider Name (Legal Business Name): MOLLY CINGCADE MA, LSW, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2806 PAYNE AVE
CLEVELAND OH
44114-4470
US

IV. Provider business mailing address

1481 WARREN DR APT 312
BRUNSWICK OH
44212-6315
US

V. Phone/Fax

Practice location:
  • Phone: 216-229-2420
  • Fax:
Mailing address:
  • Phone: 330-277-3859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1600014
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1101216
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: