Provider Demographics
NPI:1104651058
Name:BADGER, CINDY W
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:W
Last Name:BADGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8612 WOODBINE LN
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2247
Mailing Address - Country:US
Mailing Address - Phone:571-545-9602
Mailing Address - Fax:
Practice Address - Street 1:8612 WOODBINE LN
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2247
Practice Address - Country:US
Practice Address - Phone:571-545-9602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker