Provider Demographics
NPI:1427081827
Name:OPPER, CINDY (LICSW)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:OPPER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:ROSENFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5 LUPINE CIR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-6300
Mailing Address - Country:US
Mailing Address - Phone:508-841-8188
Mailing Address - Fax:
Practice Address - Street 1:1132 WESTFIELD ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3878
Practice Address - Country:US
Practice Address - Phone:413-592-1980
Practice Address - Fax:413-439-0096
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1107231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA62-00239OtherEVERCARE
MAA33030Medicare ID - Type Unspecified