Provider Demographics
NPI:1427345727
Name:CINTRON-HALL, MADELINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MADELINE
Middle Name:
Last Name:CINTRON-HALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5331 PRIMROSE LAKE CIR STE 212
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3751
Mailing Address - Country:US
Mailing Address - Phone:813-400-3368
Mailing Address - Fax:
Practice Address - Street 1:5331 PRIMROSE LAKE CIR STE 212
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3751
Practice Address - Country:US
Practice Address - Phone:813-400-3368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW100021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHN426AMedicare UPIN