Provider Demographics
NPI:1225823891
Name:HOMAN, CYNTHIA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:HOMAN
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:ANN
Other - Last Name:CREMIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10128 SHORTLEAF CT
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-6524
Mailing Address - Country:US
Mailing Address - Phone:352-398-9633
Mailing Address - Fax:
Practice Address - Street 1:10128 SHORTLEAF CT
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-6524
Practice Address - Country:US
Practice Address - Phone:352-398-9633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW207421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical