Provider Demographics
NPI:1083050140
Name:LINDGREN, CYNTHIA IRENE (LCSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:IRENE
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:IRENE
Other - Last Name:DUNNIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9101 TRAIL WOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-3715
Mailing Address - Country:US
Mailing Address - Phone:817-476-1204
Mailing Address - Fax:682-257-3884
Practice Address - Street 1:5004 THOMPSON TER STE 106A
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6132
Practice Address - Country:US
Practice Address - Phone:817-476-1204
Practice Address - Fax:682-257-3884
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX596591041C0700X, 1041C0700X
103TM1800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities