MEDICARE: MS. CYNTHIA JOLENE SCHMITT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1437472743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA JOLENE SCHMITT LCSW

Provider Business Mailing Address
First Line	:	7704 LYREWOOD LN APT 170
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-5565
Country	:	US
Telephone Number	:	405-416-4999
Fax Number	:

Provider Business Practice Location Address
First Line	:	7704 LYREWOOD LN APT 170
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-5565
Country	:	US
Telephone Number	:	405-416-4999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	02/29/2016

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