=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386892024
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CYNTHIA CASTNER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/07/2008
-----------------------------------------------------
Last Update Date | 10/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13 BUCKNELL AVE
-----------------------------------------------------
City | STRATFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08084-2004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 852-278-1148
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13 BUCKNELL AVE
-----------------------------------------------------
City | STRATFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08084-2004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-278-1148
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 44SC05560400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------